Provider Demographics
NPI:1013322437
Name:WHITE HORSE CHIROPRACTIC CENTER LLC
Entity Type:Organization
Organization Name:WHITE HORSE CHIROPRACTIC CENTER LLC
Other - Org Name:STANLEY B. PILTIN, DC
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:STANLEY
Authorized Official - Middle Name:B
Authorized Official - Last Name:PILTIN
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:856-784-5700
Mailing Address - Street 1:722 S WHITE HORSE PIKE
Mailing Address - Street 2:
Mailing Address - City:SOMERDALE
Mailing Address - State:NJ
Mailing Address - Zip Code:08083-1247
Mailing Address - Country:US
Mailing Address - Phone:856-784-5700
Mailing Address - Fax:856-784-5030
Practice Address - Street 1:722 S WHITE HORSE PIKE
Practice Address - Street 2:
Practice Address - City:SOMERDALE
Practice Address - State:NJ
Practice Address - Zip Code:08083-1247
Practice Address - Country:US
Practice Address - Phone:856-784-5700
Practice Address - Fax:856-784-5030
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-06-24
Last Update Date:2014-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ38MC002077111NX0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111NX0800XChiropractic ProvidersChiropractorOrthopedicGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ089571Medicare PIN