Provider Demographics
NPI:1992854293
Name:STINNER, FREDERICK THOMAS (DC)
Entity Type:Individual
Prefix:DR
First Name:FREDERICK
Middle Name:THOMAS
Last Name:STINNER
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 1:95 MADISON AVE
Mailing Address - Street 2:SUITE 401
Mailing Address - City:MORRISTOWN
Mailing Address - State:NJ
Mailing Address - Zip Code:07960-6092
Mailing Address - Country:US
Mailing Address - Phone:973-683-0300
Mailing Address - Fax:973-683-0301
Practice Address - Street 1:95 MADISON AVE
Practice Address - Street 2:SUITE 401
Practice Address - City:MORRISTOWN
Practice Address - State:NJ
Practice Address - Zip Code:07960-6092
Practice Address - Country:US
Practice Address - Phone:973-683-0300
Practice Address - Fax:973-683-0301
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ38MC00474000111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJU61366Medicare UPIN
NJST837234Medicare ID - Type Unspecified