Provider Demographics
NPI:1518181064
Name:LEXINGTON CHIROPRACTIC
Entity Type:Organization
Organization Name:LEXINGTON CHIROPRACTIC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:HANS
Authorized Official - Middle Name:D
Authorized Official - Last Name:KALCHBRENNER
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:973-614-9533
Mailing Address - Street 1:322 W SADDLE RIVER RD
Mailing Address - Street 2:
Mailing Address - City:UPPER SADDLE RIVER
Mailing Address - State:NJ
Mailing Address - Zip Code:07458-2121
Mailing Address - Country:US
Mailing Address - Phone:201-327-0919
Mailing Address - Fax:201-327-2444
Practice Address - Street 1:211 LEXINGTON AVE
Practice Address - Street 2:
Practice Address - City:PASSAIC
Practice Address - State:NJ
Practice Address - Zip Code:07055-6206
Practice Address - Country:US
Practice Address - Phone:973-614-9533
Practice Address - Fax:973-614-8131
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-13
Last Update Date:2012-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ38MC00220100111N00000X
NJ38MC00237600111N00000X
NJ38MC00189300111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty