Organization · NPI-2

Advanced Chiropractic Healthcare & Wellness, LLC

Clinic/Center · Eatontown, NJ

NPI number1154833093
StatusActive
Last updated in NPPESNov 1, 2017

Details

NPI
1154833093
Entity type
Organization (NPI-2)
Legal business name
Advanced Chiropractic Healthcare & Wellness, LLC
Organization subpart
No
Enumeration date
Nov 1, 2017
Last updated
Nov 1, 2017

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261Q00000X Clinic/Center––Yes

Practice location

613 Hope Rd Ste 1
Eatontown, NJ 07724-1279

Phone 848-456-4782

Mailing address

613 Hope Rd Ste 1
Eatontown, NJ 07724-1279

Phone 848-456-4782

Authorized official

Wanderson Silva
Owner/Doctor
8484564782

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