Provider Demographics
NPI:1114290145
Name:LITTLE SILVER FAMILY CHIROPRACTIC, INC.
Entity Type:Organization
Organization Name:LITTLE SILVER FAMILY CHIROPRACTIC, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:KOSTANTINOS
Authorized Official - Middle Name:
Authorized Official - Last Name:LINARDAKIS
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:732-747-7333
Mailing Address - Street 1:1000 SANGER AVENUE
Mailing Address - Street 2:SUITE #205
Mailing Address - City:OCEANPORT
Mailing Address - State:NJ
Mailing Address - Zip Code:07757
Mailing Address - Country:US
Mailing Address - Phone:732-747-7333
Mailing Address - Fax:732-475-4875
Practice Address - Street 1:1000 SANGER AVENUE
Practice Address - Street 2:SUITE #205
Practice Address - City:OCEANPORT
Practice Address - State:NJ
Practice Address - Zip Code:07757
Practice Address - Country:US
Practice Address - Phone:732-747-7333
Practice Address - Fax:732-475-4875
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-02-22
Last Update Date:2018-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ38MC00564100111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty