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BACK & SPINE CENTER OF PASSAIC LLC NPI 1265899538


NPI Information

NPI: 1265899538
Provider Name: BACK & SPINE CENTER OF PASSAIC, LLC
Classification: Chiropractor - 111N00000X
Entity Type: Organization
Address:
647 MAIN AVE
SUITE 202
PASSAIC, NJ
ZIP 07055
Phone: (973) 473-7200
Get Directions

BACK & SPINE CENTER OF PASSAIC, LLC is a chiropractor in Passaic, 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. BACK & SPINE CENTER OF PASSAIC, LLC NPI is 1265899538. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

647 MAIN AVE
SUITE 202
PASSAIC, NJ
ZIP 07055-934
Phone: (973) 473-7200
Fax: (973) 473-7202

The provider's authorized official is Renato M. Cappello .
The authorized official title is Owner and has the following contact phone number (973) 473-7200.

The enumeration date for this NPI number is 1/18/2016 and was last updated on 2/15/2016.


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
1111N00000XChiropractor38MC00550700NEW JERSEYYes

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: 5/5/2024

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