Provider Demographics
NPI:1124002340
Name:HEALTH FIRST CHIROPRACTIC CLINIC INC
Entity Type:Organization
Organization Name:HEALTH FIRST CHIROPRACTIC CLINIC INC
Other - Org Name:JOHN F ZIMMERMAN JR DC
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:CHIROPRACTOR
Authorized Official - Prefix:
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:F
Authorized Official - Last Name:ZIMMERMAN
Authorized Official - Suffix:JR
Authorized Official - Credentials:DC
Authorized Official - Phone:609-652-6363
Mailing Address - Street 1:48 S NEW YORK RD
Mailing Address - Street 2:SUITE B7
Mailing Address - City:GALLOWAY
Mailing Address - State:NJ
Mailing Address - Zip Code:08205-9680
Mailing Address - Country:US
Mailing Address - Phone:609-652-6363
Mailing Address - Fax:609-652-6949
Practice Address - Street 1:48 S NEW YORK RD
Practice Address - Street 2:SUITE B7
Practice Address - City:GALLOWAY
Practice Address - State:NJ
Practice Address - Zip Code:08205-9680
Practice Address - Country:US
Practice Address - Phone:609-652-6363
Practice Address - Fax:609-652-6949
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-12-01
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMC03604111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ0535447000OtherAMERI HEALTH
746703Medicare ID - Type Unspecified