Provider Demographics
NPI:1750530739
Name:CASPER CHIROPRACTIC, LLC
Entity type:Organization
Organization Name:CASPER CHIROPRACTIC, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ROBYN
Authorized Official - Middle Name:JOY
Authorized Official - Last Name:GOTTHOFFER
Authorized Official - Suffix:
Authorized Official - Credentials:D,C,
Authorized Official - Phone:609-301-7530
Mailing Address - Street 1:ONE WASHINGTON BLVD
Mailing Address - Street 2:SUITE 6A
Mailing Address - City:ROBBINSVILLE
Mailing Address - State:NJ
Mailing Address - Zip Code:08691-4300
Mailing Address - Country:US
Mailing Address - Phone:609-301-7530
Mailing Address - Fax:609-301-7531
Practice Address - Street 1:ONE WASHINGTON BLVD
Practice Address - Street 2:SUITE 6A
Practice Address - City:ROBBINSVILLE
Practice Address - State:NJ
Practice Address - Zip Code:08691-4300
Practice Address - Country:US
Practice Address - Phone:609-301-7530
Practice Address - Fax:609-301-7531
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-09-15
Last Update Date:2013-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ38MC00588200111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty