Provider Demographics
NPI:1770955965
Name:TOTAL HEALTH MANAGEMENT
Entity type:Organization
Organization Name:TOTAL HEALTH MANAGEMENT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/CHIROPRACTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:
Authorized Official - Last Name:LOURO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:732-539-8043
Mailing Address - Street 1:1736 HELEN ST
Mailing Address - Street 2:
Mailing Address - City:WALL TOWNSHIP
Mailing Address - State:NJ
Mailing Address - Zip Code:07719-3774
Mailing Address - Country:US
Mailing Address - Phone:732-722-7500
Mailing Address - Fax:
Practice Address - Street 1:1736 HELEN ST
Practice Address - Street 2:
Practice Address - City:WALL TOWNSHIP
Practice Address - State:NJ
Practice Address - Zip Code:07719-3774
Practice Address - Country:US
Practice Address - Phone:732-722-7500
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-10-27
Last Update Date:2015-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ38MC00398600111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty