Active NPIOrganization

Mobile Sports Chiropractic, LLC

Chiropractor, Sports Physician in Fairfield, New Jersey

NPI Number1053741520
Practice location
149 Horseneck RD, Fairfield, NJ 07004-2306
Fax
—
Last updated
November 20, 2013

Mobile Sports Chiropractic, LLC is a healthcare organization based in Fairfield, NJ. Mobile Sports Chiropractic, LLC practices in Fairfield, NJ. The NPI Number for Mobile Sports Chiropractic, LLC is 1053741520 and holds a License No. 38MC00326100 (NJ). The current practice location address for Mobile Sports Chiropractic, LLC is 149 Horseneck RD, Fairfield, NJ 07004-2306 and can be reached out via phone at 973-851-9188.

Provider Profile Details

NPI Number
1053741520
Provider Name
Mobile Sports Chiropractic, LLC
Provider Entity Type
Organization
Address
149 Horseneck RD, Fairfield, NJ 07004-2306
Phone Number
973-851-9188
Primary Taxonomy
Chiropractor, Sports Physician · 111NS0005X
Organization Subpart
No
Authorized Official
Dr. Charles Joseph Bronder, DC · Owner · 973-851-9188
Provider Enumeration Date
November 20, 2013
Last Update Date
November 20, 2013
NPI Status
Active

Provider Business Practice Location Address Details

Address
149 Horseneck RD
Fairfield, NJ 07004-2306
Zip
07004-2306
Phone Number
973-851-9188
Fairfield, NJ 07004Get directions →

Provider Business Mailing Address Details

Address
149 Horseneck RD
Fairfield, NJ 07004-2306
City
Fairfield
State
NJ
Zip
07004-2306
Phone Number
973-851-9188

License Information

License Number
38MC00326100
License State
NJ
Taxonomy
Chiropractor, Sports Physician · 111NS0005X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Mobile Sports Chiropractic, LLC?

The NPI number of Mobile Sports Chiropractic, LLC is 1053741520. It was assigned on November 20, 2013 and is currently active in the NPPES registry.

What is the specialty of Mobile Sports Chiropractic, LLC?

Mobile Sports Chiropractic, LLC is registered under the primary taxonomy Chiropractor, Sports Physician (code 111NS0005X), licensed in NJ under license number 38MC00326100.

Where does Mobile Sports Chiropractic, LLC practice?

The practice location is 149 Horseneck RD, Fairfield, NJ 07004-2306. The office can be reached at 973-851-9188 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1053741520 directly on the NPPES registry website.

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