| Heightened Chiropractic & Performance Corp | |
|
909 Broadway, Bayonne, NJ 07002-3051 | |
| (201) 443-8245 | |
| (201) 443-2669 |
| Full Name | Heightened Chiropractic & Performance Corp |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 909 Broadway, Bayonne, New Jersey |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245889039 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | (* (Not Available)) | Primary |
| Provider Name | Michael Anthony Gonzales |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1508413006 PECOS PAC ID: 3577894708 Enrollment ID: I20191018001983 |
| Mailing Address | Practice Location Address |
|---|---|
| Heightened Chiropractic & Performance Corp 909 Broadway, Bayonne, NJ 07002-3051 Ph: (201) 443-8245 | Heightened Chiropractic & Performance Corp 909 Broadway, Bayonne, NJ 07002-3051 Ph: (201) 443-8245 |
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