Provider Demographics
NPI:1093293888
Name:LINDEN PAIN RELIEF HEALTH CENTER LLC
Entity Type:Organization
Organization Name:LINDEN PAIN RELIEF HEALTH CENTER LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIROPRACTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:KESNOLD
Authorized Official - Middle Name:
Authorized Official - Last Name:BAPTISTE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:908-768-6644
Mailing Address - Street 1:439 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:ORANGE
Mailing Address - State:NJ
Mailing Address - Zip Code:07050-1523
Mailing Address - Country:US
Mailing Address - Phone:973-675-8700
Mailing Address - Fax:973-675-8701
Practice Address - Street 1:439 MAIN ST
Practice Address - Street 2:
Practice Address - City:ORANGE
Practice Address - State:NJ
Practice Address - Zip Code:07050-1523
Practice Address - Country:US
Practice Address - Phone:973-675-8700
Practice Address - Fax:973-675-8701
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-08-02
Last Update Date:2024-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ38MC00641500111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty