Provider Demographics
NPI:1760492573
Name:DHCC,LLC
Entity Type:Organization
Organization Name:DHCC,LLC
Other - Org Name:NOW CHIROPRACTC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:TODD
Authorized Official - Middle Name:
Authorized Official - Last Name:BOGOS
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:856-786-2600
Mailing Address - Street 1:2800 ROUTE 130 N
Mailing Address - Street 2:
Mailing Address - City:CINNAMINSON
Mailing Address - State:NJ
Mailing Address - Zip Code:08077-3035
Mailing Address - Country:US
Mailing Address - Phone:856-786-2600
Mailing Address - Fax:856-786-2601
Practice Address - Street 1:2800 ROUTE 130 N
Practice Address - Street 2:SUITE 200
Practice Address - City:CINNAMINSON
Practice Address - State:NJ
Practice Address - Zip Code:08077-3035
Practice Address - Country:US
Practice Address - Phone:856-786-2600
Practice Address - Fax:856-786-2601
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-08
Last Update Date:2012-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ38MC00553800111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ091096Medicare ID - Type Unspecified
NJV05100Medicare UPIN