Provider Demographics
NPI:1528045143
Name:SCHULMAN, JEFFREY MICHAEL (DC)
Entity Type:Individual
Prefix:MR
First Name:JEFFREY
Middle Name:MICHAEL
Last Name:SCHULMAN
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 1:22 BEACON HILL COMMONS
Mailing Address - Street 2:
Mailing Address - City:POMPTON LAKES
Mailing Address - State:NJ
Mailing Address - Zip Code:07442-1349
Mailing Address - Country:US
Mailing Address - Phone:201-410-2225
Mailing Address - Fax:973-513-9462
Practice Address - Street 1:22 BEACON HILL COMMONS
Practice Address - Street 2:
Practice Address - City:POMPTON LAKES
Practice Address - State:NJ
Practice Address - Zip Code:07442-1349
Practice Address - Country:US
Practice Address - Phone:201-410-2225
Practice Address - Fax:973-513-9462
Is Sole Proprietor?:Yes
Enumeration Date:2005-12-23
Last Update Date:2011-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMC05513111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJP2124838OtherOXFORD
NJP2124838OtherOXFORD
NJ057070Medicare ID - Type Unspecified