Provider Demographics
NPI:1356501993
Name:SALMOND CHIROPRACTIC OFFICE
Entity type:Organization
Organization Name:SALMOND CHIROPRACTIC OFFICE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:GREGORY
Authorized Official - Middle Name:R
Authorized Official - Last Name:SALMOND
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:973-927-8522
Mailing Address - Street 1:272 ROUTE 206
Mailing Address - Street 2:
Mailing Address - City:FLANDERS
Mailing Address - State:NJ
Mailing Address - Zip Code:07836-9081
Mailing Address - Country:US
Mailing Address - Phone:973-927-8522
Mailing Address - Fax:973-927-9888
Practice Address - Street 1:272 ROUTE 206
Practice Address - Street 2:
Practice Address - City:FLANDERS
Practice Address - State:NJ
Practice Address - Zip Code:07836-9081
Practice Address - Country:US
Practice Address - Phone:973-927-8522
Practice Address - Fax:973-927-9888
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-06-16
Last Update Date:2008-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ520325Medicare PIN
NJT45663Medicare UPIN