South Jersey Spine & Sport LLC
Chiropractor in Haddonfield, New Jersey
1497415160- Practice location
- 56 N Haddon Ave Lowr Level, Haddonfield, NJ 08033-2438
- Phone
- 856-240-7529
- Fax
- —
- Last updated
- December 22, 2021
South Jersey Spine & Sport LLC is a healthcare organization based in Haddonfield, NJ. South Jersey Spine & Sport LLC practices in Haddonfield, NJ. The NPI Number for South Jersey Spine & Sport LLC is 1497415160. The current practice location address for South Jersey Spine & Sport LLC is 56 N Haddon Ave Lowr Level, Haddonfield, NJ 08033-2438 and can be reached out via phone at 856-240-7529.
Provider Profile Details
- NPI Number
- 1497415160
- Provider Name
- South Jersey Spine & Sport LLC
- Provider Entity Type
- Organization
- Address
- 56 N Haddon Ave Lowr Level, Haddonfield, NJ 08033-2438
- Phone Number
- 856-240-7529
- Primary Taxonomy
- Chiropractor · 111N00000X
- Organization Subpart
- No
- Authorized Official
- Michael Distler, DC, CCSP · Owner · 203-241-4574
- Other Names
- Sports Recovery Lab Of Haddonfield (Doing Business As)
- Provider Enumeration Date
- December 22, 2021
- Last Update Date
- December 22, 2021
- Certification Date
- December 22, 2021
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 56 N Haddon Ave Lowr Level
Haddonfield, NJ 08033-2438 - City
- Haddonfield
- State
- New Jersey
- Zip
- 08033-2438
- Phone Number
- 856-240-7529
Provider Business Mailing Address Details
- Address
- 56 N Haddon Ave Lowr Level
Haddonfield, NJ 08033-2438 - City
- Haddonfield
- State
- NJ
- Zip
- 08033-2438
- Phone Number
- 856-240-7529
License Information
- Taxonomy
- Chiropractor · 111N00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 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 South Jersey Spine & Sport LLC?
The NPI number of South Jersey Spine & Sport LLC is 1497415160. It was assigned on December 22, 2021 and is currently active in the NPPES registry.
What is the specialty of South Jersey Spine & Sport LLC?
South Jersey Spine & Sport LLC is registered under the primary taxonomy Chiropractor (code 111N00000X).
Where does South Jersey Spine & Sport LLC practice?
The practice location is 56 N Haddon Ave Lowr Level, Haddonfield, NJ 08033-2438. The office can be reached at 856-240-7529 (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 1497415160 directly on the NPPES registry website.