Provider Demographics
NPI:1437318250
Name:MPOWER CHIROPRACTIC WELLNESS CENTER LLC
Entity Type:Organization
Organization Name:MPOWER CHIROPRACTIC WELLNESS CENTER LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MIGUEL
Authorized Official - Middle Name:
Authorized Official - Last Name:PAGAN
Authorized Official - Suffix:JR
Authorized Official - Credentials:DC
Authorized Official - Phone:973-955-7168
Mailing Address - Street 1:810 BELMONT AVE
Mailing Address - Street 2:2ND FLOOR
Mailing Address - City:NORTH HALEDON
Mailing Address - State:NJ
Mailing Address - Zip Code:07508-2357
Mailing Address - Country:US
Mailing Address - Phone:973-955-7168
Mailing Address - Fax:973-427-2776
Practice Address - Street 1:810 BELMONT AVE
Practice Address - Street 2:2ND FLOOR
Practice Address - City:NORTH HALEDON
Practice Address - State:NJ
Practice Address - Zip Code:07508-2357
Practice Address - Country:US
Practice Address - Phone:973-955-7168
Practice Address - Fax:973-427-2776
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-06-06
Last Update Date:2008-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMC00583800111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty