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PROFESSIONAL SPORT & SPINE LLC NPI 1942789037


NPI Information

NPI: 1942789037
Provider Name: PROFESSIONAL SPORT & SPINE LLC
Classification: Chiropractor - 111N00000X
Entity Type: Organization
Address:
101 ROUTE 130 S- PRESIDENTIAL CENTER
WASHINGTON BLDG SUITE 10
CINNAMINSON, NJ
ZIP 08077
Phone: (609) 346-2954
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PROFESSIONAL SPORT & SPINE LLC is a chiropractor in Cinnaminson, 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. PROFESSIONAL SPORT & SPINE LLC NPI is 1942789037. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

101 ROUTE 130 S- PRESIDENTIAL CENTER
WASHINGTON BLDG SUITE 10
CINNAMINSON, NJ
ZIP 08077
Phone: (609) 346-2954

The provider's authorized official is Dane Hardy .
The authorized official title is Chiropractor/owner and has the following contact phone number (609) 346-2954.

The enumeration date for this NPI number is 8/9/2018 and was last updated on 8/9/2018.


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
1111N00000XChiropractor38MC00738000NEW 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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