Provider Demographics
NPI:1821389404
Name:HSJ CHIROPRACTIC LLC
Entity Type:Organization
Organization Name:HSJ CHIROPRACTIC LLC
Other - Org Name:HARBOURSIDE CHIROPRACTIC & REHABILITATION
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:J
Authorized Official - Last Name:BROGNA
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:561-768-9666
Mailing Address - Street 1:2151 SOUTH ALT. A1A
Mailing Address - Street 2:SUITE 1200
Mailing Address - City:JUPITER
Mailing Address - State:FL
Mailing Address - Zip Code:33477
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:2151 SOUTH ALT. A1A
Practice Address - Street 2:SUITE 1200
Practice Address - City:JUPITER
Practice Address - State:FL
Practice Address - Zip Code:33477
Practice Address - Country:US
Practice Address - Phone:917-627-0344
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-04-29
Last Update Date:2022-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty