Provider Demographics
NPI:1013212588
Name:POSTURE PERFECT CHIROPRACTIC PC
Entity Type:Organization
Organization Name:POSTURE PERFECT CHIROPRACTIC PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIROPRACTIC/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CARMINE
Authorized Official - Middle Name:
Authorized Official - Last Name:ALLONARDO
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:973-324-9324
Mailing Address - Street 1:623 EAGLE ROCK AVENUE
Mailing Address - Street 2:SUITE 208
Mailing Address - City:W. ORANGE
Mailing Address - State:NJ
Mailing Address - Zip Code:07052-2948
Mailing Address - Country:US
Mailing Address - Phone:973-324-9324
Mailing Address - Fax:973-324-9339
Practice Address - Street 1:623 EAGLE ROCK AVENUE
Practice Address - Street 2:SUITE 208
Practice Address - City:W. ORANGE
Practice Address - State:NJ
Practice Address - Zip Code:07052-2948
Practice Address - Country:US
Practice Address - Phone:973-324-9324
Practice Address - Fax:973-324-9339
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:POSTURE PERFECT CHIROPRACTIC, P.C.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2011-01-14
Last Update Date:2011-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMC05261111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ034470Medicare PIN
NJ478371Medicare UPIN