Provider Demographics
NPI:1679855696
Name:CONTOUR CHIROPRACTIC LLC
Entity Type:Organization
Organization Name:CONTOUR CHIROPRACTIC LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:CHARLES
Authorized Official - Last Name:LANGERAAP
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:973-383-9734
Mailing Address - Street 1:198 WHITE LAKE RD
Mailing Address - Street 2:
Mailing Address - City:LAFAYETTE
Mailing Address - State:NJ
Mailing Address - Zip Code:07848-2014
Mailing Address - Country:US
Mailing Address - Phone:973-383-9734
Mailing Address - Fax:973-383-6654
Practice Address - Street 1:205 CHUBB AVE BLDG A
Practice Address - Street 2:
Practice Address - City:LYNDHURST
Practice Address - State:NJ
Practice Address - Zip Code:07071-3520
Practice Address - Country:US
Practice Address - Phone:201-531-1444
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-09-15
Last Update Date:2011-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ38MC00652400111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty