Provider Demographics
NPI:1508809237
Name:MCELROY CHIROPRACTIC CENTER LLC
Entity Type:Organization
Organization Name:MCELROY CHIROPRACTIC CENTER LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:JOHN
Authorized Official - Last Name:MCELROY
Authorized Official - Suffix:JR
Authorized Official - Credentials:DC
Authorized Official - Phone:609-748-0063
Mailing Address - Street 1:233 W ABSECON BLVD
Mailing Address - Street 2:
Mailing Address - City:ABSECON
Mailing Address - State:NJ
Mailing Address - Zip Code:08201-2403
Mailing Address - Country:US
Mailing Address - Phone:609-748-0063
Mailing Address - Fax:609-748-3063
Practice Address - Street 1:233 W ABSECON BLVD
Practice Address - Street 2:
Practice Address - City:ABSECON
Practice Address - State:NJ
Practice Address - Zip Code:08201-2403
Practice Address - Country:US
Practice Address - Phone:609-748-0063
Practice Address - Fax:609-748-3063
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-13
Last Update Date:2019-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ00526300111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ036182U4EMedicare PIN
NJU79495Medicare UPIN