1427466689 NPI number — ALL ESSEX CHIROPRACTIC, INC.

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1427466689 NPI number — ALL ESSEX CHIROPRACTIC, INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
ALL ESSEX CHIROPRACTIC, INC.
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1427466689
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
07/31/2014
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
142 LINDEN AVE
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
VERONA
Provider Business Mailing Address State Name:
NJ
Provider Business Mailing Address Postal Code:
07044-2204
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
972-239-0262
Provider Business Mailing Address Fax Number:
973-857-9124

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
6 POMPTON AVE
Provider Second Line Business Practice Location Address:
SUITE 25
Provider Business Practice Location Address City Name:
CEDAR GROVE
Provider Business Practice Location Address State Name:
NJ
Provider Business Practice Location Address Postal Code:
07009-2042
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
973-239-0262
Provider Business Practice Location Address Fax Number:
973-857-9124
Provider Enumeration Date:
07/31/2014

Additional Information

Authorized Official

Authorized Official Last Name:
COLLINS
Authorized Official First Name:
CHARLES
Authorized Official Middle Name:
Authorized Official Title or Position:
OWNER
Authorized Official Telephone Number:
973-239-0262

Provider Taxonomy Codes

  • Taxonomy code: 111N00000X , registered in the state of NJ ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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