Provider Demographics
NPI:1992823116
Name:CHIRO CARE CHIROPRACTIC AND REHABILITATION CENTER LLC
Entity Type:Organization
Organization Name:CHIRO CARE CHIROPRACTIC AND REHABILITATION CENTER LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING MEMBER
Authorized Official - Prefix:DR
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:L
Authorized Official - Last Name:DEPALMA
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:609-587-9900
Mailing Address - Street 1:2275 HIGHWAY 33
Mailing Address - Street 2:SUITE 304
Mailing Address - City:HAMILTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08690-1748
Mailing Address - Country:US
Mailing Address - Phone:609-587-9900
Mailing Address - Fax:609-587-9978
Practice Address - Street 1:2275 HIGHWAY 33
Practice Address - Street 2:SUITE 304
Practice Address - City:HAMILTON
Practice Address - State:NJ
Practice Address - Zip Code:08690-1748
Practice Address - Country:US
Practice Address - Phone:609-587-9900
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-26
Last Update Date:2009-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ38MC00646200111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty