Provider Demographics
NPI:1285834721
Name:C.O.R.E. THERAPIES
Entity Type:Organization
Organization Name:C.O.R.E. THERAPIES
Other - Org Name:CORE THERAPIES FAMILY WELLNESS CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JASON
Authorized Official - Middle Name:H
Authorized Official - Last Name:SONNERS
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:973-992-2673
Mailing Address - Street 1:209 E NORTHFIELD RD
Mailing Address - Street 2:
Mailing Address - City:LIVINGSTON
Mailing Address - State:NJ
Mailing Address - Zip Code:07039-4522
Mailing Address - Country:US
Mailing Address - Phone:973-992-2673
Mailing Address - Fax:973-992-4906
Practice Address - Street 1:209 E NORTHFIELD RD
Practice Address - Street 2:
Practice Address - City:LIVINGSTON
Practice Address - State:NJ
Practice Address - Zip Code:07039-4522
Practice Address - Country:US
Practice Address - Phone:973-992-2673
Practice Address - Fax:973-992-4906
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-07-23
Last Update Date:2007-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ38MC00635400111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ090485U7VMedicare PIN
NJV04813Medicare UPIN