Provider Demographics
NPI:1407894033
Name:MILLVILLE CHIROPRACTIC CENTER
Entity Type:Organization
Organization Name:MILLVILLE CHIROPRACTIC CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:A
Authorized Official - Last Name:BEEBE
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:856-327-0320
Mailing Address - Street 1:1014 N HIGH ST
Mailing Address - Street 2:
Mailing Address - City:MILLVILLE
Mailing Address - State:NJ
Mailing Address - Zip Code:08332-2527
Mailing Address - Country:US
Mailing Address - Phone:856-327-0320
Mailing Address - Fax:856-825-4183
Practice Address - Street 1:1014 N HIGH ST
Practice Address - Street 2:
Practice Address - City:MILLVILLE
Practice Address - State:NJ
Practice Address - Zip Code:08332-2527
Practice Address - Country:US
Practice Address - Phone:856-327-0320
Practice Address - Fax:856-825-4183
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-04
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ07304260000OtherAMERIHEALTH GROUP NUMBER
NJ2937301Medicaid
NJ013971Medicare ID - Type Unspecified