Provider Demographics
NPI:1972862548
Name:FITZPATRICK CHIROPRACTIC LLC
Entity Type:Organization
Organization Name:FITZPATRICK CHIROPRACTIC LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIROPRACTOR/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:S
Authorized Official - Last Name:FITZPATRICK
Authorized Official - Suffix:JR
Authorized Official - Credentials:DC
Authorized Official - Phone:732-288-0500
Mailing Address - Street 1:1184 FISCHER BLVD
Mailing Address - Street 2:SUITE 1B
Mailing Address - City:TOMS RIVER
Mailing Address - State:NJ
Mailing Address - Zip Code:08753-3089
Mailing Address - Country:US
Mailing Address - Phone:732-288-0500
Mailing Address - Fax:732-288-0550
Practice Address - Street 1:1184 FISCHER BLVD
Practice Address - Street 2:SUITE 1 B
Practice Address - City:TOMS RIVER
Practice Address - State:NJ
Practice Address - Zip Code:08753-3089
Practice Address - Country:US
Practice Address - Phone:732-288-0500
Practice Address - Fax:732-288-0550
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-05-16
Last Update Date:2018-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty