BAYSHORE CHIROPRACTIC CENTER PA NPI 1205995115

NPI Information

  • NPI: 1205995115
  • Provider Name: BAYSHORE CHIROPRACTIC CENTER PA
  • Classification: Chiropractor - 111N00000X
  • Entity Type: Organization
  • Doing Business As: ALLIANCE REHAB
  • Address: 250 MAPLE PLACE
    KEYPORT, NJ
    ZIP 07735
  • Phone: (732) 264-8900

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NPI Details

BAYSHORE CHIROPRACTIC CENTER PA is a chiropractor in Keyport, NJ. The provider is a provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. BAYSHORE CHIROPRACTIC CENTER PA NPI is 1205995115. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Alliance Rehab.

The provider's business location address is:

250 MAPLE PLACE
KEYPORT, NJ
ZIP 07735-144
Phone: (732) 264-8900
Fax: (732) 264-0156

The provider's authorized official is Charles M Dietrich .
The authorized official title is President and has the following contact phone number (732) 264-8900.

The enumeration date for this NPI number is 12/6/2006 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1111N00000XChiropractorYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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