Provider Demographics
NPI:1649375700
Name:EPSTEIN CHIROPRACTIC, P.C.
Entity type:Organization
Organization Name:EPSTEIN CHIROPRACTIC, P.C.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CHIROPRACTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:ALAN
Authorized Official - Middle Name:P
Authorized Official - Last Name:EPSTEIN
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:908-289-7500
Mailing Address - Street 1:315 ELMORA AVE
Mailing Address - Street 2:SUITE 102
Mailing Address - City:ELIZABETH
Mailing Address - State:NJ
Mailing Address - Zip Code:07208-1383
Mailing Address - Country:US
Mailing Address - Phone:908-289-7500
Mailing Address - Fax:908-289-2171
Practice Address - Street 1:315 ELMORA AVE
Practice Address - Street 2:SUITE 102
Practice Address - City:ELIZABETH
Practice Address - State:NJ
Practice Address - Zip Code:07208-1383
Practice Address - Country:US
Practice Address - Phone:908-289-7500
Practice Address - Fax:908-289-2171
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-14
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ6614111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty