Provider Demographics
NPI:1417125626
Name:ADJUSTME CHIROPRACTIC LLC
Entity Type:Organization
Organization Name:ADJUSTME CHIROPRACTIC LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:CLAUDY-ANN
Authorized Official - Middle Name:
Authorized Official - Last Name:KEASBERRY
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:732-619-3819
Mailing Address - Street 1:33 WOODHILL ST
Mailing Address - Street 2:
Mailing Address - City:SOMERSET
Mailing Address - State:NJ
Mailing Address - Zip Code:08873-4661
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:99 BAYARD ST
Practice Address - Street 2:
Practice Address - City:NEW BRUNSWICK
Practice Address - State:NJ
Practice Address - Zip Code:08901-2171
Practice Address - Country:US
Practice Address - Phone:732-448-1616
Practice Address - Fax:732-448-1717
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-02-11
Last Update Date:2008-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ38MC00580400111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ098555OtherMEDICARE GROUP #
NJU84036Medicare UPIN
NJ046150U2TMedicare PIN