Provider Demographics
NPI:1932974847
Name:CARBON HEALTH & WELLNESS, LLC
Entity Type:Organization
Organization Name:CARBON HEALTH & WELLNESS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JEFFREY
Authorized Official - Middle Name:ANTHONY
Authorized Official - Last Name:PAMMER
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:484-241-1740
Mailing Address - Street 1:98 MINNEHAHA BLVD
Mailing Address - Street 2:
Mailing Address - City:OAKLAND
Mailing Address - State:NJ
Mailing Address - Zip Code:07436-2806
Mailing Address - Country:US
Mailing Address - Phone:484-241-1740
Mailing Address - Fax:
Practice Address - Street 1:18 W RIDGEWOOD AVE FL 2
Practice Address - Street 2:
Practice Address - City:PARAMUS
Practice Address - State:NJ
Practice Address - Zip Code:07652-2333
Practice Address - Country:US
Practice Address - Phone:484-241-1740
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-11-20
Last Update Date:2023-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111NR0400XChiropractic ProvidersChiropractorRehabilitationGroup - Multi-Specialty