Provider Demographics
NPI:1205027794
Name:JAMES J O'ROURKE DC LLC
Entity Type:Organization
Organization Name:JAMES J O'ROURKE DC LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:KIM
Authorized Official - Middle Name:
Authorized Official - Last Name:PRITCHETT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:609-390-9740
Mailing Address - Street 1:94 ROUTE 50
Mailing Address - Street 2:
Mailing Address - City:OCEAN VIEW
Mailing Address - State:NJ
Mailing Address - Zip Code:08230-1319
Mailing Address - Country:US
Mailing Address - Phone:609-545-0445
Mailing Address - Fax:609-545-0446
Practice Address - Street 1:94 ROUTE 50
Practice Address - Street 2:
Practice Address - City:OCEAN VIEW
Practice Address - State:NJ
Practice Address - Zip Code:08230-1319
Practice Address - Country:US
Practice Address - Phone:609-545-0445
Practice Address - Fax:609-545-0446
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-08
Last Update Date:2008-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ38MC00399700111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty