Provider Demographics
NPI:1811149909
Name:WESTWOOD CHIROPRACTIC CENTER
Entity type:Organization
Organization Name:WESTWOOD CHIROPRACTIC CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:GEORGE
Authorized Official - Middle Name:G
Authorized Official - Last Name:BARNETT
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:732-530-0255
Mailing Address - Street 1:766 SHREWSBURY AVE
Mailing Address - Street 2:W-206
Mailing Address - City:TINTON FALLS
Mailing Address - State:NJ
Mailing Address - Zip Code:07724-3001
Mailing Address - Country:US
Mailing Address - Phone:732-530-0255
Mailing Address - Fax:732-530-0822
Practice Address - Street 1:766 SHREWSBURY AVE
Practice Address - Street 2:W-206
Practice Address - City:TINTON FALLS
Practice Address - State:NJ
Practice Address - Zip Code:07724-3001
Practice Address - Country:US
Practice Address - Phone:732-530-0255
Practice Address - Fax:732-530-0822
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-10-21
Last Update Date:2008-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ38MC00349100111NS0005X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111NS0005XChiropractic ProvidersChiropractorSports PhysicianGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ1043693OtherBLE CROSS BLUE SHIELD OF NJ
NJ1043693OtherBLE CROSS BLUE SHIELD OF NJ