Provider Demographics
NPI:1205112760
Name:DHCC,LLC
Entity type:Organization
Organization Name:DHCC,LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:JUDIE
Authorized Official - Middle Name:
Authorized Official - Last Name:COMERS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:856-429-7200
Mailing Address - Street 1:15 BURNT MILL RD
Mailing Address - Street 2:SUITE D
Mailing Address - City:CHERRY HILL
Mailing Address - State:NJ
Mailing Address - Zip Code:08003-3947
Mailing Address - Country:US
Mailing Address - Phone:856-429-7200
Mailing Address - Fax:856-429-7280
Practice Address - Street 1:227 MADISON AVE
Practice Address - Street 2:
Practice Address - City:LUMBERTON
Practice Address - State:NJ
Practice Address - Zip Code:08048-2901
Practice Address - Country:US
Practice Address - Phone:877-222-5203
Practice Address - Fax:609-261-7562
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-10-28
Last Update Date:2011-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMC00580900111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty