Provider Demographics
NPI:1407021256
Name:MIHLON FAMILY CHIROPRACTIC CENTER, LLC
Entity Type:Organization
Organization Name:MIHLON FAMILY CHIROPRACTIC CENTER, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ANITA
Authorized Official - Middle Name:LOUISE
Authorized Official - Last Name:MIHLON
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:732-237-0933
Mailing Address - Street 1:709 ROUTE 9
Mailing Address - Street 2:
Mailing Address - City:BAYVILLE
Mailing Address - State:NJ
Mailing Address - Zip Code:08721-2535
Mailing Address - Country:US
Mailing Address - Phone:732-237-0933
Mailing Address - Fax:
Practice Address - Street 1:709 ROUTE 9
Practice Address - Street 2:
Practice Address - City:BAYVILLE
Practice Address - State:NJ
Practice Address - Zip Code:08721-2535
Practice Address - Country:US
Practice Address - Phone:732-237-0933
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-23
Last Update Date:2008-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ38MC00414300111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJU30568Medicare UPIN
NJ011467Medicare PIN