Provider Demographics
NPI:1144394842
Name:FAMILY CHIROPRACTIC & WELLNESS CENTER
Entity Type:Organization
Organization Name:FAMILY CHIROPRACTIC & WELLNESS CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:NOEL
Authorized Official - Middle Name:F
Authorized Official - Last Name:PLASKER
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:201-444-4408
Mailing Address - Street 1:25 SHERIDAN AVE
Mailing Address - Street 2:
Mailing Address - City:HO HO KUS
Mailing Address - State:NJ
Mailing Address - Zip Code:07423-1538
Mailing Address - Country:US
Mailing Address - Phone:201-444-4408
Mailing Address - Fax:201-444-4497
Practice Address - Street 1:25 SHERIDAN AVE
Practice Address - Street 2:
Practice Address - City:HO HO KUS
Practice Address - State:NJ
Practice Address - Zip Code:07423-1538
Practice Address - Country:US
Practice Address - Phone:201-444-4408
Practice Address - Fax:201-444-4497
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-17
Last Update Date:2007-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ38MC00502000111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty