Provider Demographics
NPI:1598026452
Name:ESSINGTON FAMILY CHIROPRACTIC LLC
Entity Type:Organization
Organization Name:ESSINGTON FAMILY CHIROPRACTIC LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/MEMBER
Authorized Official - Prefix:DR
Authorized Official - First Name:CAROLYN
Authorized Official - Middle Name:
Authorized Official - Last Name:ESSINGTON
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:732-240-0100
Mailing Address - Street 1:212 ATLANTIC CITY BLVD
Mailing Address - Street 2:
Mailing Address - City:BEACHWOOD
Mailing Address - State:NJ
Mailing Address - Zip Code:08722-2905
Mailing Address - Country:US
Mailing Address - Phone:732-240-0100
Mailing Address - Fax:732-240-2543
Practice Address - Street 1:212 ATLANTIC CITY BLVD
Practice Address - Street 2:
Practice Address - City:BEACHWOOD
Practice Address - State:NJ
Practice Address - Zip Code:08722-2905
Practice Address - Country:US
Practice Address - Phone:732-240-0100
Practice Address - Fax:732-240-2543
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-06-06
Last Update Date:2012-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ38MC00431700111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty