Provider Demographics
NPI:1750667911
Name:DMB CHIROPRACTIC PLLC
Entity Type:Organization
Organization Name:DMB CHIROPRACTIC PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIROPRACTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:
Authorized Official - Last Name:BEIM
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:908-370-1801
Mailing Address - Street 1:1000 OCEAN PKWY APT 3G
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11230-3410
Mailing Address - Country:US
Mailing Address - Phone:908-370-1801
Mailing Address - Fax:718-252-5010
Practice Address - Street 1:1000 OCEAN PKWY APT 3G
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11230-3410
Practice Address - Country:US
Practice Address - Phone:908-370-1801
Practice Address - Fax:718-252-5010
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-11-01
Last Update Date:2011-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYX011593-1111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty