Provider Demographics
NPI:1972502524
Name:NOTTE, GUY F (DC)
Entity type:Individual
Prefix:DR
First Name:GUY
Middle Name:F
Last Name:NOTTE
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 1:345 GREGORY AVE
Mailing Address - Street 2:
Mailing Address - City:WEST ORANGE
Mailing Address - State:NJ
Mailing Address - Zip Code:07052-3729
Mailing Address - Country:US
Mailing Address - Phone:973-919-1176
Mailing Address - Fax:973-731-1805
Practice Address - Street 1:212 E NORTHFIELD RD
Practice Address - Street 2:
Practice Address - City:LIVINGSTON
Practice Address - State:NJ
Practice Address - Zip Code:07039-4505
Practice Address - Country:US
Practice Address - Phone:973-919-1176
Practice Address - Fax:973-731-1805
Is Sole Proprietor?:Yes
Enumeration Date:2005-07-16
Last Update Date:2008-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMC005170111N00000X
NYX008777-1111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
134023353OtherFEDERAL TAX ID (EIN)