Prime Chiropractic Pc

LBN: Prime Chiropractic Pc
Prime Chiropractic Pc is an health care organization with primary practice located at 118 Broad Ave Ste 9 , Palisades Park NJ 07650-2717. The organization recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as the primary health care specialty. Prime Chiropractic Pc can be contacted via phone (201) 313-1122, or through Park, Dong Sun via phone (201) 669-0336.

Contact Information

Primary practice address
118 Broad Ave Ste 9 Palisades Park NJ 07650-2717
Phone: (201) 313-1122
Fax: (201) 941-1157
Website:
Map and Directions
Authorized official contact:
Name: Park, Dong Sun Doctor of Chiropractic (DC)
Phone: (201) 669-0336

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 38MC00694400 New Jersey

Profile Details

NPI number 1891107124
LBN Legal business name Prime Chiropractic Pc
DBA Doing business as
Authorized official Park, Dong Sun Doctor of Chiropractic (DC)
Entity Organization
Organization subpart 1 No
Enumeration date May 21st, 2014
Last updated May 21st, 2014 - about 12 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1891107124 NPPES
New Jersey Other 38MC00694400 NJ LICENSE NUMBER

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