Provider Demographics
NPI:1013062819
Name:SLOOTMAKER, ANDREW PETER (DC)
Entity type:Individual
Prefix:DR
First Name:ANDREW
Middle Name:PETER
Last Name:SLOOTMAKER
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 1:3 VALLEY RD
Mailing Address - Street 2:
Mailing Address - City:ROCKAWAY
Mailing Address - State:NJ
Mailing Address - Zip Code:07866-4307
Mailing Address - Country:US
Mailing Address - Phone:973-784-4274
Mailing Address - Fax:
Practice Address - Street 1:10 2ND AVE
Practice Address - Street 2:
Practice Address - City:DENVILLE
Practice Address - State:NJ
Practice Address - Zip Code:07834-2712
Practice Address - Country:US
Practice Address - Phone:973-944-4866
Practice Address - Fax:973-794-5133
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ38MC00612500111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJP3678311OtherOXFORD PROVIDER ID
NJ9159921OtherCIGNA PROVIDER ID
NJ1217969OtherAETNA PROVIDER ID