Provider Demographics
NPI:1790716389
Name:MILLBURN CHIROPRACTIC ARTS
Entity Type:Organization
Organization Name:MILLBURN CHIROPRACTIC ARTS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR OF CHIROPRACTIC
Authorized Official - Prefix:DR
Authorized Official - First Name:RACHEL
Authorized Official - Middle Name:
Authorized Official - Last Name:BALUYOT-ESCUSA
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:973-467-3993
Mailing Address - Street 1:68 ESSEX ST
Mailing Address - Street 2:
Mailing Address - City:MILLBURN
Mailing Address - State:NJ
Mailing Address - Zip Code:07041-1635
Mailing Address - Country:US
Mailing Address - Phone:973-467-3993
Mailing Address - Fax:
Practice Address - Street 1:68 ESSEX ST
Practice Address - Street 2:
Practice Address - City:MILLBURN
Practice Address - State:NJ
Practice Address - Zip Code:07041-1635
Practice Address - Country:US
Practice Address - Phone:973-467-3993
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-05
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ38MC00626300111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ083663Medicare ID - Type UnspecifiedRACHEL BALUYOT