Ellen T Demoulin, D.C.
Chiropractor, Sports Physician in Marmora, NJ. Individual provider (NPI-1).
NPI number1497844534
StatusActive
Last updated in NPPESOct 6, 2014
Details
- NPI
- 1497844534
- Entity type
- Individual (NPI-1)
- Name
- Ellen T Demoulin
- Credential
- D.C.
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Oct 12, 2006
- Last updated
- Oct 6, 2014
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - CHIROPRACTIC
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 111NS0005X | Chiropractor, Sports Physician | 38mc00336900 | NJ | Yes |
Practice location
52 Tuckahoe RdMarmora, NJ 08223
Phone 609-390-8490 · Fax 609-845-1850
Mailing address
52 Tuckahoe RdMarmora, NJ 08223
Phone 609-390-8490 · Fax 609-845-1850
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Other Sports Physician Chiropractor providers in Marmora, NJ
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