Provider Demographics
NPI:1649692617
Name:D&J HEALTH CARE LLC
Entity type:Organization
Organization Name:D&J HEALTH CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIROPRACTOR/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:CAROLYN
Authorized Official - Middle Name:BETH
Authorized Official - Last Name:ILNICKI
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:973-285-0888
Mailing Address - Street 1:12 JAMES ST
Mailing Address - Street 2:
Mailing Address - City:MORRISTOWN
Mailing Address - State:NJ
Mailing Address - Zip Code:07960-5942
Mailing Address - Country:US
Mailing Address - Phone:973-285-0888
Mailing Address - Fax:973-536-7858
Practice Address - Street 1:12 JAMES ST
Practice Address - Street 2:
Practice Address - City:MORRISTOWN
Practice Address - State:NJ
Practice Address - Zip Code:07960-5942
Practice Address - Country:US
Practice Address - Phone:973-285-0888
Practice Address - Fax:973-536-7858
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-01-10
Last Update Date:2015-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ38MC00295200261QM2500X, 111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
No261QM2500XAmbulatory Health Care FacilitiesClinic/CenterMedical SpecialtyGroup - Single Specialty