Provider Demographics
NPI:1659401917
Name:ALDI CHIROPRACTIC CENTER L.L.C.
Entity Type:Organization
Organization Name:ALDI CHIROPRACTIC CENTER L.L.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SOLE MBR
Authorized Official - Prefix:DR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:
Authorized Official - Last Name:ALDI
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:973-427-3200
Mailing Address - Street 1:PO BOX 1208
Mailing Address - Street 2:
Mailing Address - City:FAIR LAWN
Mailing Address - State:NJ
Mailing Address - Zip Code:07410-8208
Mailing Address - Country:US
Mailing Address - Phone:973-427-3200
Mailing Address - Fax:973-427-2399
Practice Address - Street 1:662 GOFFLE RD
Practice Address - Street 2:SUITE 2
Practice Address - City:HAWTHORNE
Practice Address - State:NJ
Practice Address - Zip Code:07506-3420
Practice Address - Country:US
Practice Address - Phone:973-427-3200
Practice Address - Fax:973-427-2399
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-06
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMC05688111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty