Provider Demographics
NPI:1922169119
Name:AHLERS, COURTNEY APRIL (DC)
Entity Type:Individual
Prefix:
First Name:COURTNEY
Middle Name:APRIL
Last Name:AHLERS
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 1:85 HAZLET AVE
Mailing Address - Street 2:
Mailing Address - City:HAZLET
Mailing Address - State:NJ
Mailing Address - Zip Code:07730-1637
Mailing Address - Country:US
Mailing Address - Phone:973-214-2453
Mailing Address - Fax:
Practice Address - Street 1:883 POOLE AVE
Practice Address - Street 2:SUITE 1
Practice Address - City:HAZLET
Practice Address - State:NJ
Practice Address - Zip Code:07730-2040
Practice Address - Country:US
Practice Address - Phone:732-203-0037
Practice Address - Fax:435-518-0205
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ38MC00617900111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor