Provider Demographics
NPI:1649699406
Name:ABOUT YOU CHIROPRACTIC, LLC
Entity type:Organization
Organization Name:ABOUT YOU CHIROPRACTIC, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BILLING
Authorized Official - Prefix:
Authorized Official - First Name:SUSAN
Authorized Official - Middle Name:
Authorized Official - Last Name:MANKOWSKI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:732-583-0600
Mailing Address - Street 1:245 MAIN ST
Mailing Address - Street 2:SUITE 2M
Mailing Address - City:MATAWAN
Mailing Address - State:NJ
Mailing Address - Zip Code:07747-3244
Mailing Address - Country:US
Mailing Address - Phone:732-583-0600
Mailing Address - Fax:732-583-0603
Practice Address - Street 1:245 MAIN ST
Practice Address - Street 2:SUITE 2M
Practice Address - City:MATAWAN
Practice Address - State:NJ
Practice Address - Zip Code:07747-3244
Practice Address - Country:US
Practice Address - Phone:732-583-0600
Practice Address - Fax:732-583-0603
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-04-09
Last Update Date:2014-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ38MC00252800111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty