Provider Demographics
NPI:1831127968
Name:J&H CHIROPRACTIC PC
Entity Type:Organization
Organization Name:J&H CHIROPRACTIC PC
Other - Org Name:MODERN CHIROPRACTIC CONCEPTS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DOCTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:J
Authorized Official - Last Name:SARACEN
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:856-428-2225
Mailing Address - Street 1:1432 ROUTE 70 E
Mailing Address - Street 2:
Mailing Address - City:CHERRY HILL
Mailing Address - State:NJ
Mailing Address - Zip Code:08034-2230
Mailing Address - Country:US
Mailing Address - Phone:856-428-2225
Mailing Address - Fax:856-427-4286
Practice Address - Street 1:1432 ROUTE 70 E
Practice Address - Street 2:
Practice Address - City:CHERRY HILL
Practice Address - State:NJ
Practice Address - Zip Code:08034-2230
Practice Address - Country:US
Practice Address - Phone:856-428-2225
Practice Address - Fax:856-427-4286
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-29
Last Update Date:2007-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ090401OtherMEDICARE PROVIDER NUMBER