Provider Demographics
NPI:1497725329
Name:ROSSI, SHEILA (DC)
Entity Type:Individual
Prefix:
First Name:SHEILA
Middle Name:
Last Name:ROSSI
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2275 WHITEHORSE MERCERVILLE RD
Mailing Address - Street 2:SUITE 5
Mailing Address - City:HAMILTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08619-2643
Mailing Address - Country:US
Mailing Address - Phone:609-838-1481
Mailing Address - Fax:609-838-1483
Practice Address - Street 1:2275 WHITEHORSE MERCERVILLE RD
Practice Address - Street 2:SUITE 5
Practice Address - City:HAMILTON
Practice Address - State:NJ
Practice Address - Zip Code:08619-2643
Practice Address - Country:US
Practice Address - Phone:609-838-1481
Practice Address - Fax:609-838-1483
Is Sole Proprietor?:Yes
Enumeration Date:2006-01-24
Last Update Date:2017-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMC03605111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ0115611000OtherAMERIHEATLH
NJ536530Medicare ID - Type Unspecified