Provider Demographics
NPI:1679810261
Name:ABSOLUTE HEALTH CHIROPRACTIC LLC
Entity Type:Organization
Organization Name:ABSOLUTE HEALTH CHIROPRACTIC LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIROPRACTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:ERIK
Authorized Official - Middle Name:ALBERT
Authorized Official - Last Name:CHAMBERJIAN
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:973-439-6969
Mailing Address - Street 1:1129 BLOOMFIELD AVE
Mailing Address - Street 2:SUITE 210
Mailing Address - City:WEST CALDWELL
Mailing Address - State:NJ
Mailing Address - Zip Code:07006-7127
Mailing Address - Country:US
Mailing Address - Phone:973-439-6969
Mailing Address - Fax:973-439-6966
Practice Address - Street 1:1129 BLOOMFIELD AVE
Practice Address - Street 2:SUITE 210
Practice Address - City:WEST CALDWELL
Practice Address - State:NJ
Practice Address - Zip Code:07006-7127
Practice Address - Country:US
Practice Address - Phone:973-439-6969
Practice Address - Fax:973-439-6966
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-01-16
Last Update Date:2013-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ38MC00627800111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ094365Medicare PIN