Provider Demographics
NPI:1679659148
Name:CEBULSKI, ALAN FRANCIS (DC)
Entity type:Individual
Prefix:DR
First Name:ALAN
Middle Name:FRANCIS
Last Name:CEBULSKI
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 1:100 KINGS RD
Mailing Address - Street 2:
Mailing Address - City:MADISON
Mailing Address - State:NJ
Mailing Address - Zip Code:07940-2631
Mailing Address - Country:US
Mailing Address - Phone:973-377-4500
Mailing Address - Fax:973-377-8400
Practice Address - Street 1:100 KINGS RD
Practice Address - Street 2:
Practice Address - City:MADISON
Practice Address - State:NJ
Practice Address - Zip Code:07940-2631
Practice Address - Country:US
Practice Address - Phone:973-377-4500
Practice Address - Fax:973-377-8400
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ38MC00558100111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ1051816OtherCIGNA HEALTH CARE
NJ830118OtherUNITED HEALTH CARE
NJP3663879OtherOXFORD
NJ7287848OtherAETNA HEALTH CARE
NJP3663879OtherOXFORD
NJ830118OtherUNITED HEALTH CARE