Provider Demographics
NPI:1932150141
Name:HEALTH BUILDERS CHIROPRACTIC
Entity Type:Organization
Organization Name:HEALTH BUILDERS CHIROPRACTIC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:DANIEL
Authorized Official - Middle Name:
Authorized Official - Last Name:BIES
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:732-237-2200
Mailing Address - Street 1:687 ROUTE 9
Mailing Address - Street 2:
Mailing Address - City:BAYVILLE
Mailing Address - State:NJ
Mailing Address - Zip Code:08721-2539
Mailing Address - Country:US
Mailing Address - Phone:732-237-2200
Mailing Address - Fax:732-606-9264
Practice Address - Street 1:687 ROUTE 9
Practice Address - Street 2:
Practice Address - City:BAYVILLE
Practice Address - State:NJ
Practice Address - Zip Code:08721-2539
Practice Address - Country:US
Practice Address - Phone:732-237-2200
Practice Address - Fax:732-606-9264
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-12
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMC03963111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ191150Medicare ID - Type Unspecified