Provider Demographics
NPI:1366473928
Name:CHIROPRACTIC HEALTH PARTNERS PC
Entity Type:Organization
Organization Name:CHIROPRACTIC HEALTH PARTNERS PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:MELISSA
Authorized Official - Middle Name:
Authorized Official - Last Name:BENENFELD
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:856-546-1230
Mailing Address - Street 1:102 BROWNING LN STE A2
Mailing Address - Street 2:
Mailing Address - City:CHERRY HILL
Mailing Address - State:NJ
Mailing Address - Zip Code:08003-3195
Mailing Address - Country:US
Mailing Address - Phone:856-546-1230
Mailing Address - Fax:856-546-8050
Practice Address - Street 1:102 BROWNING LN STE A2
Practice Address - Street 2:
Practice Address - City:CHERRY HILL
Practice Address - State:NJ
Practice Address - Zip Code:08003-3195
Practice Address - Country:US
Practice Address - Phone:856-546-1230
Practice Address - Fax:856-546-8050
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-05
Last Update Date:2022-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMC04540111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
1063481075OtherNPI INDIVIDUAL
1063481075OtherNPI INDIVIDUAL
U47430Medicare UPIN