Provider Demographics
NPI:1780709469
Name:KAT, JANTY (DC)
Entity type:Individual
Prefix:
First Name:JANTY
Middle Name:
Last Name:KAT
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 1:261 HALEDON AVE
Mailing Address - Street 2:SUITE 1A
Mailing Address - City:HALEDON
Mailing Address - State:NJ
Mailing Address - Zip Code:07508-1925
Mailing Address - Country:US
Mailing Address - Phone:973-553-0562
Mailing Address - Fax:973-790-4869
Practice Address - Street 1:261 HALEDON AVE
Practice Address - Street 2:SUITE 1A
Practice Address - City:HALEDON
Practice Address - State:NJ
Practice Address - Zip Code:07508-1925
Practice Address - Country:US
Practice Address - Phone:973-553-0562
Practice Address - Fax:973-790-4869
Is Sole Proprietor?:No
Enumeration Date:2007-03-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ38MC00619500111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor