Provider Demographics
NPI:1891889002
Name:NAUMOV CHIROPRACTIC LLC
Entity Type:Organization
Organization Name:NAUMOV CHIROPRACTIC LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIROPRACTOR MANAGING MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:VICTOR
Authorized Official - Middle Name:N
Authorized Official - Last Name:NAUMOV
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:201-265-8688
Mailing Address - Street 1:PO BOX 206
Mailing Address - Street 2:
Mailing Address - City:NEW MILFORD
Mailing Address - State:NJ
Mailing Address - Zip Code:07646
Mailing Address - Country:US
Mailing Address - Phone:201-265-8688
Mailing Address - Fax:201-336-9176
Practice Address - Street 1:717 PRINCETON STR
Practice Address - Street 2:
Practice Address - City:NEW MILFORD
Practice Address - State:NJ
Practice Address - Zip Code:07646
Practice Address - Country:US
Practice Address - Phone:201-265-8688
Practice Address - Fax:201-336-9176
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-03
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ38MC00562900111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
043830Medicare ID - Type Unspecified