Provider Demographics
NPI:1689946600
Name:VERCHIO CHIROPRACTIC AND WELLNESS
Entity Type:Organization
Organization Name:VERCHIO CHIROPRACTIC AND WELLNESS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/CHIROPRACTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:JULIA
Authorized Official - Middle Name:A
Authorized Official - Last Name:VERCHIO
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:856-881-4100
Mailing Address - Street 1:1812 FRIES MILL RD
Mailing Address - Street 2:
Mailing Address - City:WILLIAMSTOWN
Mailing Address - State:NJ
Mailing Address - Zip Code:08094-3318
Mailing Address - Country:US
Mailing Address - Phone:856-881-4100
Mailing Address - Fax:856-881-4122
Practice Address - Street 1:1812 FRIES MILL RD
Practice Address - Street 2:
Practice Address - City:WILLIAMSTOWN
Practice Address - State:NJ
Practice Address - Zip Code:08094-3318
Practice Address - Country:US
Practice Address - Phone:856-881-4100
Practice Address - Fax:856-881-4122
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-02-07
Last Update Date:2012-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ38MC00675800111NS0005X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111NS0005XChiropractic ProvidersChiropractorSports PhysicianGroup - Single Specialty