Provider Demographics
NPI:1922125392
Name:DORFMAN, STEVEN F (DC)
Entity Type:Individual
Prefix:DR
First Name:STEVEN
Middle Name:F
Last Name:DORFMAN
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 1:1027 E CHESTNUT AVE
Mailing Address - Street 2:
Mailing Address - City:VINELAND
Mailing Address - State:NJ
Mailing Address - Zip Code:08360-5838
Mailing Address - Country:US
Mailing Address - Phone:856-506-9430
Mailing Address - Fax:
Practice Address - Street 1:1370 S MAIN RD
Practice Address - Street 2:
Practice Address - City:VINELAND
Practice Address - State:NJ
Practice Address - Zip Code:08360
Practice Address - Country:US
Practice Address - Phone:856-691-6055
Practice Address - Fax:856-691-0496
Is Sole Proprietor?:No
Enumeration Date:2007-03-23
Last Update Date:2019-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMC05637111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ2453913000OtherAMERA HEALTH
PA264107OtherBCBS
NJ3727722OtherAETNA
NJMPIN2145028OtherUNITED HEALTH CARE
NJ91000253700OtherAMERA CHOICE
NJ8355401Medicaid
NJ2453913000OtherAMERA HEALTH
NJ039038Medicare ID - Type Unspecified