HEADACHE NECK AND LOW BACK PAIN CENTER LLC NPI 1770723405

NPI Information

NPI: 1770723405
Provider Name: HEADACHE NECK AND LOW BACK PAIN CENTER LLC
Classification: Chiropractor - 111N00000X
Entity Type: Organization
Address:
577 CHESTNUT RIDGE RD
WOODCLIFF LAKE, NJ
ZIP 07677
Phone: (201) 391-0805
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HEADACHE NECK AND LOW BACK PAIN CENTER LLC is a chiropractor in Woodcliff Lake, 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. HEADACHE NECK AND LOW BACK PAIN CENTER LLC NPI is 1770723405. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

577 CHESTNUT RIDGE RD
WOODCLIFF LAKE, NJ
ZIP 07677-409
Phone: (201) 391-0805

The provider's authorized official is Gary Sherman .
The authorized official title is President and has the following contact phone number (201) 788-7945.

The enumeration date for this NPI number is 2/20/2009 and was last updated on 2/20/2009.

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		38MC00209000	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	T72982	MEDICARE UPIN	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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