James W Mattison Jr, DC | |
480 Memorial Pkwy, Phillipsburg, NJ 08865-1575 | |
(908) 454-8808 | |
(908) 998-4762 |
Full Name | James W Mattison Jr |
---|---|
Gender | Male |
Speciality | Chiropractor |
Location | 480 Memorial Pkwy, Phillipsburg, New Jersey |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1538120878 | NPI | - | NPPES |
002420TST | Other | NJ | MEDICARE |
319723YVXP | Other | NJ | MEDICARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | 38MC00514100 (New Jersey) | Primary |
Provider Name | Active Wellness Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1902162662 PECOS PAC ID: 3072752864 Enrollment ID: O20130627000369 |
Mailing Address | Practice Location Address |
---|---|
James W Mattison Jr, DC 480 Memorial Pkwy, Phillipsburg, NJ 08865-1575 Ph: (908) 454-8808 | James W Mattison Jr, DC 480 Memorial Pkwy, Phillipsburg, NJ 08865-1575 Ph: (908) 454-8808 |
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