Provider Demographics
NPI:1144569088
Name:PAT SMITH CHIROPRACTIC SERVICES LLC
Entity Type:Organization
Organization Name:PAT SMITH CHIROPRACTIC SERVICES LLC
Other - Org Name:SMITH CHIROPRACTIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:PATRICK
Authorized Official - Middle Name:RAFFERTY
Authorized Official - Last Name:SMITH
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:908-464-8899
Mailing Address - Street 1:PO BOX 611
Mailing Address - Street 2:
Mailing Address - City:PEAPACK
Mailing Address - State:NJ
Mailing Address - Zip Code:07977-0611
Mailing Address - Country:US
Mailing Address - Phone:908-464-8899
Mailing Address - Fax:908-464-0199
Practice Address - Street 1:261 SPRINGFIELD AVE STE 202
Practice Address - Street 2:
Practice Address - City:BERKELEY HEIGHTS
Practice Address - State:NJ
Practice Address - Zip Code:07922-1264
Practice Address - Country:US
Practice Address - Phone:908-464-8899
Practice Address - Fax:908-464-0199
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-02-13
Last Update Date:2022-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty