Provider Demographics
NPI:1558560359
Name:ORLIKOWSKI, JEFFREY PAUL (DOCTOR OF CHIROPRACT)
Entity Type:Individual
Prefix:DR
First Name:JEFFREY
Middle Name:PAUL
Last Name:ORLIKOWSKI
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 1:414 35TH STREET
Mailing Address - Street 2:
Mailing Address - City:UNION CITY
Mailing Address - State:NJ
Mailing Address - Zip Code:07087-3951
Mailing Address - Country:US
Mailing Address - Phone:201-864-6666
Mailing Address - Fax:201-864-9336
Practice Address - Street 1:414 35TH STREET
Practice Address - Street 2:
Practice Address - City:UNION CITY
Practice Address - State:NJ
Practice Address - Zip Code:07087-3951
Practice Address - Country:US
Practice Address - Phone:201-864-6666
Practice Address - Fax:201-864-9336
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-12
Last Update Date:2007-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ38MC00399600111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ4843100Medicaid
NJ4843100Medicaid
NJ670912Medicare Oscar/Certification