Provider Demographics
NPI:1649455452
Name:AUERBACH FAMILY CHIROPRACTIC INC
Entity type:Organization
Organization Name:AUERBACH FAMILY CHIROPRACTIC INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:MITCHELL
Authorized Official - Middle Name:PHILLIP
Authorized Official - Last Name:AUERBACH
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:732-972-2432
Mailing Address - Street 1:8 CARTER DR
Mailing Address - Street 2:
Mailing Address - City:MARLBORO
Mailing Address - State:NJ
Mailing Address - Zip Code:07746-1110
Mailing Address - Country:US
Mailing Address - Phone:732-972-2432
Mailing Address - Fax:732-972-2774
Practice Address - Street 1:8 CARTER DR
Practice Address - Street 2:
Practice Address - City:MARLBORO
Practice Address - State:NJ
Practice Address - Zip Code:07746-1110
Practice Address - Country:US
Practice Address - Phone:732-972-2432
Practice Address - Fax:732-972-2774
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-12-31
Last Update Date:2008-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ38MC00429400111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ501148Medicare UPIN