1528015781 NPI number — TUROV CHIROPRACTIC, P.C.

Table of content: REENA PANCHAL MA, NCC, LPC (NPI 1710306121)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1528015781 NPI number — TUROV CHIROPRACTIC, P.C.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
TUROV CHIROPRACTIC, P.C.
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:
1528015781
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
02/10/2009
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 41
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
ROSELAND
Provider Business Mailing Address State Name:
NJ
Provider Business Mailing Address Postal Code:
07068-0041
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
973-614-9500
Provider Business Mailing Address Fax Number:
973-614-8200

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
642 BROAD ST
Provider Second Line Business Practice Location Address:
2ND FL; SUITE 9
Provider Business Practice Location Address City Name:
CLIFTON
Provider Business Practice Location Address State Name:
NJ
Provider Business Practice Location Address Postal Code:
07013-1615
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
973-614-9500
Provider Business Practice Location Address Fax Number:
974-614-8200
Provider Enumeration Date:
05/30/2006

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
TUROVETS
Authorized Official First Name:
ARTHUR
Authorized Official Middle Name:
Authorized Official Title or Position:
OWNER
Authorized Official Telephone Number:
973-614-9500

Provider Taxonomy Codes

  • Taxonomy code: 111N00000X , with the licence number:  38MC00592200 , 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)