Provider Demographics
NPI:1205017282
Name:CHASE FAMILY CHIROPRACTIC
Entity Type:Organization
Organization Name:CHASE FAMILY CHIROPRACTIC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR OF CHIROPRACTIC
Authorized Official - Prefix:DR
Authorized Official - First Name:CHRISTOPHER
Authorized Official - Middle Name:ROBERT
Authorized Official - Last Name:CHASE
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:609-465-5358
Mailing Address - Street 1:304 S MAIN ST
Mailing Address - Street 2:
Mailing Address - City:CAPE MAY COURT HOUSE
Mailing Address - State:NJ
Mailing Address - Zip Code:08210-2325
Mailing Address - Country:US
Mailing Address - Phone:609-465-5358
Mailing Address - Fax:609-465-3143
Practice Address - Street 1:304 S MAIN ST
Practice Address - Street 2:
Practice Address - City:CAPE MAY COURT HOUSE
Practice Address - State:NJ
Practice Address - Zip Code:08210-2325
Practice Address - Country:US
Practice Address - Phone:609-465-5358
Practice Address - Fax:609-465-3143
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-11-19
Last Update Date:2007-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ38MC00522700111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty