Provider Demographics
NPI:1437274842
Name:GREEN HILL CHIROPRACTIC
Entity Type:Organization
Organization Name:GREEN HILL CHIROPRACTIC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:JOYCE
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:WILKINS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:609-386-6100
Mailing Address - Street 1:1603 OXMEAD RD
Mailing Address - Street 2:
Mailing Address - City:BURLINGTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08016-4215
Mailing Address - Country:US
Mailing Address - Phone:609-386-6100
Mailing Address - Fax:609-386-2838
Practice Address - Street 1:1603 OXMEAD RD
Practice Address - Street 2:
Practice Address - City:BURLINGTON
Practice Address - State:NJ
Practice Address - Zip Code:08016-4215
Practice Address - Country:US
Practice Address - Phone:609-386-6100
Practice Address - Fax:609-386-2838
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-21
Last Update Date:2008-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ026599Medicare ID - Type Unspecified
NJT44558Medicare UPIN