Provider Demographics
NPI:1184597379
Name:SK CHIRO LLC
Entity type:Organization
Organization Name:SK CHIRO LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:SEON
Authorized Official - Middle Name:K
Authorized Official - Last Name:KIM
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:201-941-0993
Mailing Address - Street 1:21 GRAND AVE STE 503
Mailing Address - Street 2:
Mailing Address - City:PALISADES PARK
Mailing Address - State:NJ
Mailing Address - Zip Code:07650-1083
Mailing Address - Country:US
Mailing Address - Phone:201-941-0993
Mailing Address - Fax:908-888-0248
Practice Address - Street 1:21 GRAND AVE STE 503
Practice Address - Street 2:
Practice Address - City:PALISADES PARK
Practice Address - State:NJ
Practice Address - Zip Code:07650-1083
Practice Address - Country:US
Practice Address - Phone:201-941-0993
Practice Address - Fax:908-888-0248
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-09-24
Last Update Date:2025-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty