Active NPIOrganization

Penczak Family Chiropractic, LLC

Chiropractor in Wall, New Jersey

NPI Number1083773923
Practice location
2041 Route 35, Wall, NJ 07719
Fax
732-974-7023
Last updated
March 17, 2008

Penczak Family Chiropractic, LLC is a healthcare organization based in Wall, NJ. Penczak Family Chiropractic, LLC practices in Wall, NJ. The NPI Number for Penczak Family Chiropractic, LLC is 1083773923 and holds a License No. 38MC00554100 (NJ). The current practice location address for Penczak Family Chiropractic, LLC is 2041 Route 35, Wall, NJ 07719 and can be reached out via phone at 732-974-7022 and via fax at 732-974-7023.

Provider Profile Details

NPI Number
1083773923
Provider Name
Penczak Family Chiropractic, LLC
Provider Entity Type
Organization
Address
2041 Route 35, Wall, NJ 07719
Phone Number
732-974-7022
Fax Number
732-974-7023
Primary Taxonomy
Chiropractor · 111N00000X
Organization Subpart
No
Authorized Official
Dr. Susan Penczak, DC · Owner · 732-974-7022
Provider Enumeration Date
December 6, 2006
Last Update Date
March 17, 2008
NPI Status
Active

Provider Business Practice Location Address Details

Address
2041 Route 35
Wall, NJ 07719
City
Wall
Zip
07719
Phone Number
732-974-7022
Fax Number
732-974-7023
Wall, NJ 07719Get directions →

Provider Business Mailing Address Details

Address
2041 Route 35
Wall, NJ 07719
City
Wall
State
NJ
Zip
07719
Phone Number
732-974-7022
Fax Number
732-974-7023

License Information

License Number
38MC00554100
License State
NJ
Taxonomy
Chiropractor · 111N00000X · 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 Penczak Family Chiropractic, LLC?

The NPI number of Penczak Family Chiropractic, LLC is 1083773923. It was assigned on December 6, 2006 and is currently active in the NPPES registry.

What is the specialty of Penczak Family Chiropractic, LLC?

Penczak Family Chiropractic, LLC is registered under the primary taxonomy Chiropractor (code 111N00000X), licensed in NJ under license number 38MC00554100.

Where does Penczak Family Chiropractic, LLC practice?

The practice location is 2041 Route 35, Wall, NJ 07719. The office can be reached at 732-974-7022 (phone) or 732-974-7023 (fax).

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 1083773923 directly on the NPPES registry website.

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