Provider Demographics
NPI:1306218516
Name:COURTHOUSE CHIROPRACTIC & PHYSICAL THERAPY OF JERSEY CITY
Entity Type:Organization
Organization Name:COURTHOUSE CHIROPRACTIC & PHYSICAL THERAPY OF JERSEY CITY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:
Authorized Official - Last Name:PRETE
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:201-420-1165
Mailing Address - Street 1:590 NEWARK AVE
Mailing Address - Street 2:
Mailing Address - City:JERSEY CITY
Mailing Address - State:NJ
Mailing Address - Zip Code:07306-2302
Mailing Address - Country:US
Mailing Address - Phone:201-420-1165
Mailing Address - Fax:
Practice Address - Street 1:590 NEWARK AVE
Practice Address - Street 2:2ND FLOOR
Practice Address - City:JERSEY CITY
Practice Address - State:NJ
Practice Address - Zip Code:07306-2302
Practice Address - Country:US
Practice Address - Phone:201-420-1165
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-10-27
Last Update Date:2015-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ38MC00528300111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty