Jacqueline A Kelsch-Robinson, DC

Individual provider Active NPI Chiropractor · Pomona, NJ

NPI 1992809131 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1992809131
Entity type
Individual (NPI type 1)
Primary specialty
Chiropractor 111N00000X
License
38MC00377300 (NJ)
Practice address
Pob 770
278 St. Joseph St.
Pomona, NJ 08240
Phone
(609) 652-2600
Fax
(609) 652-2600
NPI assigned
Sep 8, 2006
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
3773NJMDPsychologist
38MC00377300NJMDChiropractor

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 38MC00377300 NJ Yes

Addresses

Primary practice location

Pob 770
278 St. Joseph St.
Pomona, NJ 08240

Mailing address

Pob 770
278 St. Joseph St.
Pomona, NJ 08240
Phone (609) 652-2600

Other providers in Pomona, NJ

All providers in Pomona, NJ · Chiropractor in New Jersey

Sources for this page

Verify at the official NPI Registry.