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EAST GATE CHIROPRACTIC & WELLNESS LLC NPI 1750605887


NPI Information

NPI: 1750605887
Provider Name: EAST GATE CHIROPRACTIC & WELLNESS, LLC
Classification: Chiropractor - 111N00000X
Entity Type: Organization
Address:
813 E GATE DR
SUITE C
MOUNT LAUREL, NJ
ZIP 08054
Phone: (856) 222-1322
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EAST GATE CHIROPRACTIC & WELLNESS, LLC is a chiropractor in Mount Laurel, 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. EAST GATE CHIROPRACTIC & WELLNESS, LLC NPI is 1750605887. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

813 E GATE DR
SUITE C
MOUNT LAUREL, NJ
ZIP 08054-238
Phone: (856) 222-1322
Fax: (856) 222-9632

The provider's authorized official is Leonard F Vernon .
The authorized official title is Owner and has the following contact phone number (856) 222-1322.

The enumeration date for this NPI number is 3/18/2010 and was last updated on 10/24/2011.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1111N00000XChiropractorMC01755NEW JERSEYYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
16539680001MEDICARE NSCNEW JERSEY

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: 11/14/2023

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