Provider Demographics
NPI:1730238015
Name:REED, GEOFFREY CHANNON (DC)
Entity type:Individual
Prefix:DR
First Name:GEOFFREY
Middle Name:CHANNON
Last Name:REED
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:PO BOX 4927
Mailing Address - Street 2:
Mailing Address - City:CLINTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08809-0927
Mailing Address - Country:US
Mailing Address - Phone:908-735-8988
Mailing Address - Fax:908-735-8878
Practice Address - Street 1:38 ROUTE 22
Practice Address - Street 2:
Practice Address - City:CLINTON
Practice Address - State:NJ
Practice Address - Zip Code:08809-1305
Practice Address - Country:US
Practice Address - Phone:908-735-8988
Practice Address - Fax:908-735-8878
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMC05654111NX0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NX0800XChiropractic ProvidersChiropractorOrthopedic
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJNJ05654OtherLANDMARK HEALTHCARE
NJ0027766Medicaid
NJ2070577001OtherAMERIHEALTH POS PPO
NJ2439666OtherAETNA
NJ60003558OtherINDEPENDENCE BLUE CROSS
NJP2543262OtherOXFORD HEALTH PLANS
NJ2070577000OtherAMERIHEALTH HMO
NJ2070577000OtherAMERIHEALTH HMO
NJU81835Medicare UPIN