Provider Demographics
NPI:1790850931
Name:DLOSS, SHARI (DC)
Entity Type:Individual
Prefix:DR
First Name:SHARI
Middle Name:
Last Name:DLOSS
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 1:1229 JASAM CT
Mailing Address - Street 2:
Mailing Address - City:TOMS RIVER
Mailing Address - State:NJ
Mailing Address - Zip Code:08755-1356
Mailing Address - Country:US
Mailing Address - Phone:732-240-4810
Mailing Address - Fax:
Practice Address - Street 1:550 ROUTE 530
Practice Address - Street 2:
Practice Address - City:WHITING
Practice Address - State:NJ
Practice Address - Zip Code:08759-3140
Practice Address - Country:US
Practice Address - Phone:732-350-2727
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ111N00000X111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ055174Medicare ID - Type Unspecified
NJT44631Medicare UPIN