Provider Demographics
NPI:1881032019
Name:WOLKE CHIROPRACTIC & REHABILITATION, P.C.
Entity Type:Organization
Organization Name:WOLKE CHIROPRACTIC & REHABILITATION, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR/ OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ANTHONY
Authorized Official - Middle Name:
Authorized Official - Last Name:WOLKE
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:973-433-7204
Mailing Address - Street 1:155 POMPTON AVE
Mailing Address - Street 2:
Mailing Address - City:VERONA
Mailing Address - State:NJ
Mailing Address - Zip Code:07044-2942
Mailing Address - Country:US
Mailing Address - Phone:973-433-7204
Mailing Address - Fax:973-433-7208
Practice Address - Street 1:155 POMPTON AVE
Practice Address - Street 2:
Practice Address - City:VERONA
Practice Address - State:NJ
Practice Address - Zip Code:07044-2942
Practice Address - Country:US
Practice Address - Phone:973-433-7204
Practice Address - Fax:973-433-7208
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:WOLKE CHIROPRACTIC & REHABILITATON, P.C.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2013-06-10
Last Update Date:2013-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty
No171100000XOther Service ProvidersAcupuncturistGroup - Multi-Specialty
No225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty