Provider Demographics
NPI:1538287008
Name:VERTER, ALLAN HAROLD (DC)
Entity Type:Individual
Prefix:DR
First Name:ALLAN
Middle Name:HAROLD
Last Name:VERTER
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 1:684 FRANKLIN AVENUE
Mailing Address - Street 2:
Mailing Address - City:NUTLEY
Mailing Address - State:NJ
Mailing Address - Zip Code:07110-1210
Mailing Address - Country:US
Mailing Address - Phone:973-667-3638
Mailing Address - Fax:973-661-0286
Practice Address - Street 1:684 FRANKLIN AVENUE
Practice Address - Street 2:
Practice Address - City:NUTLEY
Practice Address - State:NJ
Practice Address - Zip Code:07110-1210
Practice Address - Country:US
Practice Address - Phone:973-667-3638
Practice Address - Fax:973-661-0286
Is Sole Proprietor?:No
Enumeration Date:2007-03-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ38MC00131500111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJVE39207Medicare ID - Type Unspecified