Provider Demographics
NPI:1669695177
Name:PINNACLE CHIROPRACTIC HEALTH AND WELLNESS CENTER, LLC
Entity type:Organization
Organization Name:PINNACLE CHIROPRACTIC HEALTH AND WELLNESS CENTER, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JE'VONNA
Authorized Official - Middle Name:N
Authorized Official - Last Name:HOPKINS
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:973-675-0600
Mailing Address - Street 1:219 CENTRAL AVE
Mailing Address - Street 2:
Mailing Address - City:ORANGE
Mailing Address - State:NJ
Mailing Address - Zip Code:07050-3406
Mailing Address - Country:US
Mailing Address - Phone:973-675-0600
Mailing Address - Fax:973-675-0665
Practice Address - Street 1:219 CENTRAL AVE
Practice Address - Street 2:
Practice Address - City:ORANGE
Practice Address - State:NJ
Practice Address - Zip Code:07050-3406
Practice Address - Country:US
Practice Address - Phone:973-675-0600
Practice Address - Fax:973-675-0665
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-11
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ38MC00609400111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty