Provider Demographics
NPI:1609256007
Name:PURE HEALTH SERVICES
Entity Type:Organization
Organization Name:PURE HEALTH SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIROPRACTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:CHRIS
Authorized Official - Middle Name:
Authorized Official - Last Name:PEPITONE
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:732-747-0083
Mailing Address - Street 1:280 STATE ROUTE 35
Mailing Address - Street 2:SUITE 204
Mailing Address - City:RED BANK
Mailing Address - State:NJ
Mailing Address - Zip Code:07701-5900
Mailing Address - Country:US
Mailing Address - Phone:732-747-0083
Mailing Address - Fax:
Practice Address - Street 1:280 STATE ROUTE 35
Practice Address - Street 2:SUITE 204
Practice Address - City:RED BANK
Practice Address - State:NJ
Practice Address - Zip Code:07701-5900
Practice Address - Country:US
Practice Address - Phone:732-747-0083
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-06-02
Last Update Date:2015-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes133N00000XDietary & Nutritional Service ProvidersNutritionistGroup - Multi-Specialty