1306820972 NPI number — HEALTH FIRST CHIROPRACTIC CLINICS INC

Table of content: (NPI 1306820972)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1306820972 NPI number — HEALTH FIRST CHIROPRACTIC CLINICS INC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
HEALTH FIRST CHIROPRACTIC CLINICS 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:
6
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:
1306820972
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
08/22/2020
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
4200 HARBOR BEACH BLVD
Provider Second Line Business Mailing Address:
STE 4276 D
Provider Business Mailing Address City Name:
BRIGANTINE
Provider Business Mailing Address State Name:
NJ
Provider Business Mailing Address Postal Code:
08203-1339
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
609-266-4749
Provider Business Mailing Address Fax Number:
609-266-6723

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
4200 HARBOR BEACH BLVD
Provider Second Line Business Practice Location Address:
STE 4276 D
Provider Business Practice Location Address City Name:
BRIGANTINE
Provider Business Practice Location Address State Name:
NJ
Provider Business Practice Location Address Postal Code:
08203-1339
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
609-266-4749
Provider Business Practice Location Address Fax Number:
609-266-6723
Provider Enumeration Date:
12/06/2005

Additional Information

Authorized Official

Authorized Official Last Name:
ZIMMERMAN
Authorized Official First Name:
JOHN
Authorized Official Middle Name:
F
Authorized Official Title or Position:
CHIROPRACTOR
Authorized Official Telephone Number:
609-266-4749

Provider Taxonomy Codes

  • Taxonomy code: 111N00000X , with the licence number:  MC03604 , 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)

  • Identifier: 0535447000 . This is a "AMERIHEALTH" identifier , issued by the state of ( NJ ) . This identifiers is of the category "OTHER".




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