Provider Demographics
NPI:1255602157
Name:MOUNT FREEDOM CHIROPRACTIC LLC
Entity type:Organization
Organization Name:MOUNT FREEDOM CHIROPRACTIC LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:MARCIE
Authorized Official - Middle Name:D
Authorized Official - Last Name:ARLINSKY
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:973-960-4212
Mailing Address - Street 1:2107 PEER PL
Mailing Address - Street 2:
Mailing Address - City:DENVILLE
Mailing Address - State:NJ
Mailing Address - Zip Code:07834-3714
Mailing Address - Country:US
Mailing Address - Phone:973-960-4212
Mailing Address - Fax:
Practice Address - Street 1:540 ROUTE 10 W
Practice Address - Street 2:
Practice Address - City:RANDOLPH
Practice Address - State:NJ
Practice Address - Zip Code:07869-2026
Practice Address - Country:US
Practice Address - Phone:973-366-6615
Practice Address - Fax:973-366-9427
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-01-24
Last Update Date:2012-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty