Provider Demographics
NPI:1568448389
Name:PARELLO CHIROPRACTIC CENTER
Entity Type:Organization
Organization Name:PARELLO CHIROPRACTIC CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:EDWARD
Authorized Official - Middle Name:A
Authorized Official - Last Name:PARELLO
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:609-978-0203
Mailing Address - Street 1:145 E BAY AVE
Mailing Address - Street 2:
Mailing Address - City:MANAHAWKIN
Mailing Address - State:NJ
Mailing Address - Zip Code:08050-3105
Mailing Address - Country:US
Mailing Address - Phone:609-978-0203
Mailing Address - Fax:609-978-8284
Practice Address - Street 1:145 E BAY AVE
Practice Address - Street 2:
Practice Address - City:MANAHAWKIN
Practice Address - State:NJ
Practice Address - Zip Code:08050-3105
Practice Address - Country:US
Practice Address - Phone:609-978-0203
Practice Address - Fax:609-978-8284
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-12-22
Last Update Date:2007-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ38MC00128800111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ2191597000OtherAMERITHEALTH INSURANCE
NJ2191597000OtherAMERITHEALTH INSURANCE
NJT45388Medicare UPIN