Provider Demographics
NPI:1558426122
Name:VERBARO, DENNIS SAMUEL (DOCTOR OF CHIROPRACT)
Entity Type:Individual
Prefix:DR
First Name:DENNIS
Middle Name:SAMUEL
Last Name:VERBARO
Suffix:
Gender:M
Credentials:DOCTOR OF CHIROPRACT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:384 MAIN STREET
Mailing Address - Street 2:
Mailing Address - City:CHESTER
Mailing Address - State:NJ
Mailing Address - Zip Code:07930
Mailing Address - Country:US
Mailing Address - Phone:908-879-2946
Mailing Address - Fax:908-879-2872
Practice Address - Street 1:384 MAIN STREET
Practice Address - Street 2:
Practice Address - City:CHESTER
Practice Address - State:NJ
Practice Address - Zip Code:07930
Practice Address - Country:US
Practice Address - Phone:908-879-2946
Practice Address - Fax:908-879-2872
Is Sole Proprietor?:No
Enumeration Date:2006-12-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ38MC00347700111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ5048508Medicaid
NJ5048508Medicaid
591583Medicare ID - Type Unspecified