Provider Demographics
NPI:1447286299
Name:CHRISTIAN T COTE
Entity type:Organization
Organization Name:CHRISTIAN T COTE
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:CHRISTIAN
Authorized Official - Middle Name:T
Authorized Official - Last Name:COTE
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:856-858-1717
Mailing Address - Street 1:340-A HADDON AVE
Mailing Address - Street 2:
Mailing Address - City:WESTMONT
Mailing Address - State:NJ
Mailing Address - Zip Code:08108
Mailing Address - Country:US
Mailing Address - Phone:856-858-1717
Mailing Address - Fax:856-858-1799
Practice Address - Street 1:340-A HADDON AVE
Practice Address - Street 2:
Practice Address - City:WESTMONT
Practice Address - State:NJ
Practice Address - Zip Code:08108
Practice Address - Country:US
Practice Address - Phone:856-858-1717
Practice Address - Fax:856-858-1799
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-23
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ38MC00584300111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ080900U59Medicare ID - Type UnspecifiedRENDERING PHYSICIAN ID #
NJ099260Medicare ID - Type UnspecifiedGROUP PROVIDER ID #
NJV01920Medicare UPIN