Provider Demographics
NPI:1710227343
Name:ALAN KOOREMAN & DAWN DI MURO PTRS
Entity Type:Organization
Organization Name:ALAN KOOREMAN & DAWN DI MURO PTRS
Other - Org Name:CARE CHIROPRACTIC CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ALAN
Authorized Official - Middle Name:J
Authorized Official - Last Name:KOOREMAN
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:201-445-6200
Mailing Address - Street 1:644 GODWIN AVE
Mailing Address - Street 2:
Mailing Address - City:MIDLAND PARK
Mailing Address - State:NJ
Mailing Address - Zip Code:07432-1405
Mailing Address - Country:US
Mailing Address - Phone:201-445-6200
Mailing Address - Fax:201-445-6170
Practice Address - Street 1:644 GODWIN AVE
Practice Address - Street 2:
Practice Address - City:MIDLAND PARK
Practice Address - State:NJ
Practice Address - Zip Code:07432-1405
Practice Address - Country:US
Practice Address - Phone:201-445-6200
Practice Address - Fax:201-445-6170
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-02-19
Last Update Date:2013-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ38MC00302500111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty