Jsp Chiropractic Llc | |
17 Brinkerhoff Ter # 202, Palisades Park, NJ 07650-1101 | |
(201) 313-1212 | |
Not Available |
Full Name | Jsp Chiropractic Llc |
---|---|
Type | Facility |
Speciality | Chiropractor |
Location | 17 Brinkerhoff Ter # 202, Palisades Park, 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 |
---|---|---|---|
1518657352 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | (* (Not Available)) | Primary |
Provider Name | Joseph Sungjae Park |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1144919721 PECOS PAC ID: 6507229390 Enrollment ID: I20230828000215 |
Mailing Address | Practice Location Address |
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Jsp Chiropractic Llc 555 Gorge Rd Apt 5f, Cliffside Park, NJ 07010-2240 Ph: (201) 388-5332 | Jsp Chiropractic Llc 17 Brinkerhoff Ter # 202, Palisades Park, NJ 07650-1101 Ph: (201) 313-1212 |
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