Provider Demographics
NPI:1598177321
Name:ACKERMAN & HERSHMAN CHIROPRACTIC,LLC.
Entity Type:Organization
Organization Name:ACKERMAN & HERSHMAN CHIROPRACTIC,LLC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/CHIROPRACTOR
Authorized Official - Prefix:
Authorized Official - First Name:MATTHEW
Authorized Official - Middle Name:
Authorized Official - Last Name:HERSHMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:856-728-0770
Mailing Address - Street 1:375 N MAIN ST
Mailing Address - Street 2:SUITE B2
Mailing Address - City:WILLIAMSTOWN
Mailing Address - State:NJ
Mailing Address - Zip Code:08094-1481
Mailing Address - Country:US
Mailing Address - Phone:856-728-0770
Mailing Address - Fax:856-875-5833
Practice Address - Street 1:375 N MAIN ST
Practice Address - Street 2:SUITE B2
Practice Address - City:WILLIAMSTOWN
Practice Address - State:NJ
Practice Address - Zip Code:08094-1481
Practice Address - Country:US
Practice Address - Phone:856-728-0770
Practice Address - Fax:856-875-5833
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-05-28
Last Update Date:2014-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ38MC00634100111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ245081Medicare PIN