Provider Demographics
NPI:1770649030
Name:OCEAN CHIROPRACTIC
Entity Type:Organization
Organization Name:OCEAN CHIROPRACTIC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:DENISE
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:BURR
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:732-244-8585
Mailing Address - Street 1:490 LAKEHURST RD
Mailing Address - Street 2:
Mailing Address - City:TOMS RIVER
Mailing Address - State:NJ
Mailing Address - Zip Code:08755-8053
Mailing Address - Country:US
Mailing Address - Phone:732-244-8585
Mailing Address - Fax:732-244-2989
Practice Address - Street 1:490 LAKEHURST RD
Practice Address - Street 2:
Practice Address - City:TOMS RIVER
Practice Address - State:NJ
Practice Address - Zip Code:08755-8053
Practice Address - Country:US
Practice Address - Phone:732-244-8585
Practice Address - Fax:732-244-2989
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-29
Last Update Date:2008-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty