Provider Demographics
NPI:1568748705
Name:SPINAL CARE OF HACKENSACK, P.C.
Entity Type:Organization
Organization Name:SPINAL CARE OF HACKENSACK, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:ANDREW
Authorized Official - Last Name:MARSHALL
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:201-487-9700
Mailing Address - Street 1:60 COURT ST STE 6
Mailing Address - Street 2:
Mailing Address - City:HACKENSACK
Mailing Address - State:NJ
Mailing Address - Zip Code:07601-7041
Mailing Address - Country:US
Mailing Address - Phone:201-487-9706
Mailing Address - Fax:
Practice Address - Street 1:60 COURT ST STE 6
Practice Address - Street 2:
Practice Address - City:HACKENSACK
Practice Address - State:NJ
Practice Address - Zip Code:07601-7041
Practice Address - Country:US
Practice Address - Phone:201-487-9706
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-11-02
Last Update Date:2011-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty