Provider Demographics
NPI:1306820972
Name:HEALTH FIRST CHIROPRACTIC CLINICS INC
Entity Type:Organization
Organization Name:HEALTH FIRST CHIROPRACTIC CLINICS INC
Other - Org Name:JOHN F ZIMMERMAN JR DC
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:CHIROPRACTOR
Authorized Official - Prefix:
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:F
Authorized Official - Last Name:ZIMMERMAN
Authorized Official - Suffix:JR
Authorized Official - Credentials:DC
Authorized Official - Phone:609-266-4749
Mailing Address - Street 1:4200 HARBOR BEACH BLVD
Mailing Address - Street 2:STE 4276 D
Mailing Address - City:BRIGANTINE
Mailing Address - State:NJ
Mailing Address - Zip Code:08203-1339
Mailing Address - Country:US
Mailing Address - Phone:609-266-4749
Mailing Address - Fax:609-266-6723
Practice Address - Street 1:4200 HARBOR BEACH BLVD
Practice Address - Street 2:STE 4276 D
Practice Address - City:BRIGANTINE
Practice Address - State:NJ
Practice Address - Zip Code:08203-1339
Practice Address - Country:US
Practice Address - Phone:609-266-4749
Practice Address - Fax:609-266-6723
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-12-06
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMC03604111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ0535447000OtherAMERIHEALTH
NJ=========OtherTAX ID
NJ746703Medicare ID - Type Unspecified