Provider Demographics
NPI:1316130875
Name:ROSENTHAL, STEVE (DC, LAC, CA)
Entity type:Individual
Prefix:DR
First Name:STEVE
Middle Name:
Last Name:ROSENTHAL
Suffix:
Gender:M
Credentials:DC, LAC, CA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1005 WASHINGTON BLVD
Mailing Address - Street 2:WASHINGTON WELLNESS CENTER
Mailing Address - City:ROBBINSVILLE
Mailing Address - State:NJ
Mailing Address - Zip Code:08691-3119
Mailing Address - Country:US
Mailing Address - Phone:609-426-1700
Mailing Address - Fax:609-426-0099
Practice Address - Street 1:1005 WASHINGTON BLVD
Practice Address - Street 2:WASHINGTON WELLNESS CENTER
Practice Address - City:ROBBINSVILLE
Practice Address - State:NJ
Practice Address - Zip Code:08691-3119
Practice Address - Country:US
Practice Address - Phone:609-426-1700
Practice Address - Fax:609-426-0099
Is Sole Proprietor?:No
Enumeration Date:2007-08-19
Last Update Date:2011-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY002192111N00000X
NY908171100000X
NJ275171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist
No111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYC02192-5WOtherNYS WORKER'S COMP