ROSES LIFE CHIROPRACTIC P C NPI 1508942434

NPI Information

NPI: 1508942434
Provider Name: ROSES LIFE CHIROPRACTIC P C
Classification: Chiropractor - 111N00000X
Entity Type: Organization
Address:
555 PASSAIC AVENUE
SUITE 204
WEST CALDWELL, NJ
ZIP 07006
Phone: (973) 575-6651
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ROSES LIFE CHIROPRACTIC P C is a chiropractor in West Caldwell, NJ. The provider is a provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. ROSES LIFE CHIROPRACTIC P C NPI is 1508942434. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

555 PASSAIC AVENUE
SUITE 204
WEST CALDWELL, NJ
ZIP 07006
Phone: (973) 575-6651
Fax: (973) 575-6260

The provider's authorized official is Toniann Roses .
The authorized official title is Chiropractor President and has the following contact phone number (973) 575-6651.

The enumeration date for this NPI number is 10/31/2006 and was last updated on 4/11/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	111N00000X	Chiropractor		MC04830	NEW JERSEY	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	084236	MEDICARE ID-TYPE UNSPECIFIED	NEW JERSEY

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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