Provider Demographics
NPI:1821655721
Name:CORRECTIVE CHIROPRACTIC & WELLNESS LLC
Entity Type:Organization
Organization Name:CORRECTIVE CHIROPRACTIC & WELLNESS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:STEPHEN
Authorized Official - Middle Name:M
Authorized Official - Last Name:MURPHY
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:732-908-0440
Mailing Address - Street 1:535 IRON BRIDGE RD STE 12
Mailing Address - Street 2:
Mailing Address - City:FREEHOLD
Mailing Address - State:NJ
Mailing Address - Zip Code:07728-5301
Mailing Address - Country:US
Mailing Address - Phone:732-637-8700
Mailing Address - Fax:732-637-8704
Practice Address - Street 1:535 IRON BRIDGE RD STE 12
Practice Address - Street 2:
Practice Address - City:FREEHOLD
Practice Address - State:NJ
Practice Address - Zip Code:07728-5301
Practice Address - Country:US
Practice Address - Phone:732-637-8700
Practice Address - Fax:732-637-8704
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-05-26
Last Update Date:2019-05-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty