Provider Demographics
NPI:1477704989
Name:PERROTTI CHIROPRACTIC LLC
Entity Type:Organization
Organization Name:PERROTTI CHIROPRACTIC LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING MEMBER
Authorized Official - Prefix:DR
Authorized Official - First Name:FRANCO
Authorized Official - Middle Name:
Authorized Official - Last Name:PERROTTI
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:973-383-2278
Mailing Address - Street 1:98 SPARTA AVE.
Mailing Address - Street 2:SUITE 2
Mailing Address - City:NEWTON
Mailing Address - State:NJ
Mailing Address - Zip Code:07860-2636
Mailing Address - Country:US
Mailing Address - Phone:973-383-2278
Mailing Address - Fax:973-383-2640
Practice Address - Street 1:98 SPARTA AVE.
Practice Address - Street 2:SUITE 2
Practice Address - City:NEWTON
Practice Address - State:NJ
Practice Address - Zip Code:07860-2636
Practice Address - Country:US
Practice Address - Phone:973-383-2278
Practice Address - Fax:973-383-2640
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-10-02
Last Update Date:2009-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ38MC00577900261Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center