Provider Demographics
NPI:1407091176
Name:SIMMS FAMILY CHIROPRACTIC
Entity Type:Organization
Organization Name:SIMMS FAMILY CHIROPRACTIC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:MATTHEW
Authorized Official - Middle Name:DAVID
Authorized Official - Last Name:SIMMS
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:908-310-4576
Mailing Address - Street 1:515 TRINITY PL APT 1ON
Mailing Address - Street 2:
Mailing Address - City:WESTFIELD
Mailing Address - State:NJ
Mailing Address - Zip Code:07090-3380
Mailing Address - Country:US
Mailing Address - Phone:908-228-2122
Mailing Address - Fax:
Practice Address - Street 1:118 NORTH AVE. W. SUITE102
Practice Address - Street 2:
Practice Address - City:CRANFORD
Practice Address - State:NJ
Practice Address - Zip Code:07016
Practice Address - Country:US
Practice Address - Phone:908-310-5676
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-12-10
Last Update Date:2009-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty