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SHORELINE CHIROPRACTIC LLC NPI 1780031708


NPI Information

NPI: 1780031708
Provider Name: SHORELINE CHIROPRACTIC LLC

Doing Business As: CARSKADDAN CHIROPRACTIC

Classification: Chiropractor - 111N00000X
Entity Type: Organization
Address:
1901 HOOPER AVE
SUITE A
TOMS RIVER, NJ
ZIP 08753
Phone: (732) 255-8335
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SHORELINE CHIROPRACTIC LLC is a chiropractor in Toms River, 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. SHORELINE CHIROPRACTIC LLC NPI is 1780031708. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Carskaddan Chiropractic.

The provider's business location address is:

1901 HOOPER AVE
SUITE A
TOMS RIVER, NJ
ZIP 08753-600
Phone: (732) 255-8335
Fax: (732) 255-8261

The provider's authorized official is John Hudak .
The authorized official title is Owner and has the following contact phone number (732) 255-8335.

The enumeration date for this NPI number is 5/19/2016 and was last updated on 5/19/2016.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1111N00000XChiropractor38MC00607400NEW 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
1U499528MEDICARE UPINNEW 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: 4/28/2024

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