Penczak Family Chiropractic, Llc in Wall - Chiropractor
Penczak Family Chiropractic, Llc - NPI 1083773923
Penczak Family Chiropractic, Llc is a Chiropractor in Wall, New Jersey. Penczak Family Chiropractic, Llc practices all healthcare services and medical treatments related to Chiropractor. The NPI Number for Penczak Family Chiropractic, Llc is 1083773923. The last update date is 2008-03-17.
Penczak Family Chiropractic, Llc's current location address is 2041 Route 35, Wall, New Jersey. You can contact this provider via phone number 7329747022 and fax number 7329747023. The mailing address for Penczak Family Chiropractic, Llc is 2041 Route 35, Wall, New Jersey. To know further, please read the information below!
Provider Profile Detail
Provider Organization | Penczak Family Chiropractic, Llc |
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Address | 2041 Route 35, Wall, New Jersey |
Phone Number | 7329747022 |
Fax Number | 7329747023 |
Sole Proprietor | -- |
Credentials | -- |
Authorized Official
Title or Position | OWNER |
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Authorized Official Name | Penczak Susan |
Credentials | D.C. |
Telephone Number | 7329747022 |
NPI Number Detail
NPI Number | 1083773923 |
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Provider Enumeration Date | 2006-12-06 |
Last Updated Date | 2008-03-17 |
Provider Mailing Address Detail
Address | 2041 Route 35 |
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City | Wall |
State | New Jersey (NJ) |
Post Code | 7719 |
Phone Number | 7329747022 |
Fax Number | 7329747023 |
Provider's Primary Taxonomy Detail
Speciality | Chiropractor |
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Taxonomy | 111N00000X |
Licence No | 38MC00554100 |
Definition: 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 inte |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
2273901000 | NJ | AMERIHEALTH PPO PIN |
Post Comment/ Review Below
What is the Penczak Family Chiropractic, Llc's 1083773923?
The Penczak Family Chiropractic, Llc's NPI (National Provider Identifier) Number is 1083773923. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Penczak Family Chiropractic, Llc is located?
The Penczak Family Chiropractic, Llc is situated at the following address: 2041 Route 35, Wall, NJ, 7719.
What is the Penczak Family Chiropractic, Llc's area of specialization and corresponding taxonomy classification?
The Penczak Family Chiropractic, Llc's specialty field is Chiropractor, and it falls under the taxonomy code 111N00000X, which categorizes healthcare providers based on their specialties.
On what date did Penczak Family Chiropractic, Llc receive its 1083773923 assignment from the Centers for Medicare & Medicaid Services?
The Penczak Family Chiropractic, Llc was assigned its 1083773923 on 2006-12-06, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information pertaining to Penczak Family Chiropractic, Llc, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Penczak Family Chiropractic, Llc, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2008-03-17.