Provider Demographics
NPI:1396865226
Name:WE CARE FAMILY WELLNESS CENTER
Entity type:Organization
Organization Name:WE CARE FAMILY WELLNESS CENTER
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:HEAD DOCTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:ADONIS
Authorized Official - Middle Name:
Authorized Official - Last Name:ALEJANDRO
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:609-484-8333
Mailing Address - Street 1:6314 BLACK HORSE PIKE
Mailing Address - Street 2:SUITE B
Mailing Address - City:EGG HARBOR TOWNSHIP
Mailing Address - State:NJ
Mailing Address - Zip Code:08234
Mailing Address - Country:US
Mailing Address - Phone:609-484-8333
Mailing Address - Fax:609-484-8019
Practice Address - Street 1:6314 BLACK HORSE PIKE
Practice Address - Street 2:SUITE B
Practice Address - City:EGG HARBOR TOWNSHIP
Practice Address - State:NJ
Practice Address - Zip Code:08234
Practice Address - Country:US
Practice Address - Phone:609-484-8333
Practice Address - Fax:609-484-8019
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:WE CARE FAMILY WELLNESS CENTER LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2007-04-02
Last Update Date:2009-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ38MC00616300111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ091698UA8Medicare PIN
NJV05304Medicare UPIN
NJ091697Medicare PIN