Provider Demographics
NPI:1205112356
Name:POINT CHIROPRACTIC CENTER LLC
Entity type:Organization
Organization Name:POINT CHIROPRACTIC CENTER LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:MARIA
Authorized Official - Middle Name:
Authorized Official - Last Name:GUARIGLIA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:732-295-0055
Mailing Address - Street 1:1401 BEAVER DAM RD
Mailing Address - Street 2:
Mailing Address - City:POINT PLEASANT BORO
Mailing Address - State:NJ
Mailing Address - Zip Code:08742-4970
Mailing Address - Country:US
Mailing Address - Phone:732-295-0055
Mailing Address - Fax:732-295-9343
Practice Address - Street 1:1401 BEAVER DAM RD
Practice Address - Street 2:
Practice Address - City:POINT PLEASANT BORO
Practice Address - State:NJ
Practice Address - Zip Code:08742-4970
Practice Address - Country:US
Practice Address - Phone:732-295-0055
Practice Address - Fax:732-295-9343
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-11-02
Last Update Date:2011-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ38MC00168300111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ191878Medicare UPIN