Provider Demographics
NPI:1639332943
Name:MAJOR ADJUSTMENTS, INC
Entity Type:Organization
Organization Name:MAJOR ADJUSTMENTS, INC
Other - Org Name:DOCTOR'S HOUSE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DOCTOR OF OSTEOPATHY
Authorized Official - Prefix:DR
Authorized Official - First Name:DANIEL
Authorized Official - Middle Name:W
Authorized Official - Last Name:MAENNER
Authorized Official - Suffix:
Authorized Official - Credentials:D O
Authorized Official - Phone:201-869-6220
Mailing Address - Street 1:6310 BERGENLINE AVE
Mailing Address - Street 2:
Mailing Address - City:WEST NEW YORK
Mailing Address - State:NJ
Mailing Address - Zip Code:07093-1620
Mailing Address - Country:US
Mailing Address - Phone:201-869-6220
Mailing Address - Fax:201-869-5145
Practice Address - Street 1:6310 BERGENLINE AVE
Practice Address - Street 2:
Practice Address - City:WEST NEW YORK
Practice Address - State:NJ
Practice Address - Zip Code:07093-1620
Practice Address - Country:US
Practice Address - Phone:201-869-6220
Practice Address - Fax:201-869-5145
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-07-07
Last Update Date:2019-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ38MC00505000111N00000X
207Q00000X
NJ40QA01198200225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty
No111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty
No225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ021032OtherMEDICARE NUMBER
NJ021032OtherMEDICARE NUMBER