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MONTCLAIR UPPER CERVICAL CHIROPRACTIC LLC NPI 1679099832


NPI Information

NPI: 1679099832
Provider Name: MONTCLAIR UPPER CERVICAL CHIROPRACTIC LLC

Former Legal Business Name: UPPER CERVICAL HEALTH CENTER LLC

Classification: Chiropractor - 111N00000X
Entity Type: Organization
Address:
155 PROSPECT AVE STE 202
WEST ORANGE, NJ
ZIP 07052
Phone: (862) 520-1329
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MONTCLAIR UPPER CERVICAL CHIROPRACTIC LLC is a chiropractor in West Orange, 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. MONTCLAIR UPPER CERVICAL CHIROPRACTIC LLC NPI is 1679099832. The provider is registered as an organization entity type and is a single specialty group.
The provider Former Legal Business Name Is Upper Cervical Health Center Llc.

The provider's business location address is:

155 PROSPECT AVE STE 202
WEST ORANGE, NJ
ZIP 07052-204
Phone: (862) 520-1329

The provider's authorized official is Kevin Pecca .
The authorized official title is Owner and has the following contact phone number (973) 744-3456.

The enumeration date for this NPI number is 8/19/2017 and was last updated on 7/21/2022.


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
1111N00000XChiropractor38MC00742200NEW JERSEYYes

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

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