Provider Demographics
NPI:1144764176
Name:PROGRESSIVE CHIROPRACTIC & WELLNESS CENTER OF SCOTCH PLAINS PC
Entity Type:Organization
Organization Name:PROGRESSIVE CHIROPRACTIC & WELLNESS CENTER OF SCOTCH PLAINS PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:A
Authorized Official - Last Name:CAPRIGLIONE
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:908-490-1800
Mailing Address - Street 1:1774 E 2ND ST
Mailing Address - Street 2:
Mailing Address - City:SCOTCH PLAINS
Mailing Address - State:NJ
Mailing Address - Zip Code:07076-1708
Mailing Address - Country:US
Mailing Address - Phone:908-490-1800
Mailing Address - Fax:908-490-1848
Practice Address - Street 1:1774 E 2ND ST
Practice Address - Street 2:
Practice Address - City:SCOTCH PLAINS
Practice Address - State:NJ
Practice Address - Zip Code:07076-1708
Practice Address - Country:US
Practice Address - Phone:908-490-1800
Practice Address - Fax:908-490-1848
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-12-09
Last Update Date:2017-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111NR0400XChiropractic ProvidersChiropractorRehabilitationGroup - Multi-Specialty