Provider Demographics
NPI:1336308808
Name:CHIROPRACTIC PARTNERS, LLC
Entity Type:Organization
Organization Name:CHIROPRACTIC PARTNERS, LLC
Other - Org Name:LEONARD F. VERNON, DC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:LEONARD
Authorized Official - Middle Name:F
Authorized Official - Last Name:VERNON
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:856-222-1322
Mailing Address - Street 1:813 E GATE DR
Mailing Address - Street 2:SUITE C
Mailing Address - City:MOUNT LAUREL
Mailing Address - State:NJ
Mailing Address - Zip Code:08054-1238
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:813 E GATE DR
Practice Address - Street 2:SUITE C
Practice Address - City:MOUNT LAUREL
Practice Address - State:NJ
Practice Address - Zip Code:08054-1238
Practice Address - Country:US
Practice Address - Phone:856-222-1322
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:CHIROPRACTIC PARTNERS, LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2008-06-09
Last Update Date:2008-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMC01755111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ125997Medicare UPIN