Provider Demographics
NPI:1245492362
Name:CHIROPRACTIC ARTS BUILDING
Entity type:Organization
Organization Name:CHIROPRACTIC ARTS BUILDING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DANIEL
Authorized Official - Middle Name:P
Authorized Official - Last Name:MCGUIRE
Authorized Official - Suffix:SR
Authorized Official - Credentials:DC
Authorized Official - Phone:973-625-1500
Mailing Address - Street 1:159 ROUTE 46
Mailing Address - Street 2:
Mailing Address - City:ROCKAWAY
Mailing Address - State:NJ
Mailing Address - Zip Code:07866-4019
Mailing Address - Country:US
Mailing Address - Phone:973-625-1500
Mailing Address - Fax:
Practice Address - Street 1:159 ROUTE 46
Practice Address - Street 2:
Practice Address - City:ROCKAWAY
Practice Address - State:NJ
Practice Address - Zip Code:07866-4019
Practice Address - Country:US
Practice Address - Phone:973-625-1500
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-06-30
Last Update Date:2008-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ38MC00143100111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty