Provider Demographics
NPI:1629573738
Name:7BEAR SERVICES, LLC
Entity Type:Organization
Organization Name:7BEAR SERVICES, LLC
Other - Org Name:MORRIS SPINE AND SPORT
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:RANDI
Authorized Official - Middle Name:D
Authorized Official - Last Name:CASE
Authorized Official - Suffix:
Authorized Official - Credentials:DC, CCSP, CFMP
Authorized Official - Phone:973-349-6996
Mailing Address - Street 1:12 JAMES ST
Mailing Address - Street 2:
Mailing Address - City:MORRISTOWN
Mailing Address - State:NJ
Mailing Address - Zip Code:07960-5942
Mailing Address - Country:US
Mailing Address - Phone:973-285-0888
Mailing Address - Fax:973-539-7858
Practice Address - Street 1:12 JAMES ST
Practice Address - Street 2:
Practice Address - City:MORRISTOWN
Practice Address - State:NJ
Practice Address - Zip Code:07960-5942
Practice Address - Country:US
Practice Address - Phone:973-285-0888
Practice Address - Fax:973-539-7858
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-03-29
Last Update Date:2018-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ38MC00653100111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ619007OtherOPTUM