Provider Demographics
NPI:1467105882
Name:KRASNER, SHMUEL (DC)
Entity Type:Individual
Prefix:
First Name:SHMUEL
Middle Name:
Last Name:KRASNER
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9 CEDARVIEW AVE
Mailing Address - Street 2:
Mailing Address - City:JACKSON
Mailing Address - State:NJ
Mailing Address - Zip Code:08527-4886
Mailing Address - Country:US
Mailing Address - Phone:908-247-8020
Mailing Address - Fax:732-961-7117
Practice Address - Street 1:403 CANDLEWOOD CMNS
Practice Address - Street 2:
Practice Address - City:HOWELL
Practice Address - State:NJ
Practice Address - Zip Code:07731-2171
Practice Address - Country:US
Practice Address - Phone:732-630-5099
Practice Address - Fax:732-961-7117
Is Sole Proprietor?:No
Enumeration Date:2022-01-27
Last Update Date:2022-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ38MC00758900111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor