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Contact Information

JOHN R KOLONICH, DO
30 JACKSON RD STE A1
MEDFORD, NJ08055-9279
 Phone: 609-714-1107
 Fax: 609-654-4261
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Chiropractor

111N00000X 35 Chiropractic
Indicates primary specialty

NPI Profile & details for JOHN R KOLONICH · (Male)

NPI Number 1013070465
Status Active
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 12/18/2006
Last updated 07/16/2008 - About 11 years ago
Sole proprietor 1 Yes
Identifiers
  • NJ License # 38MC00633400
  • PA License # DC009214
  • NJ Other 2355031000 AMERIHEALTH
  • NJ Other 2355031000 KEYSTONE HPE
  • NJ Other 1013070465 NPI
  • NJ Other 2355031000 PERSONAL CHOICE
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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