Bayshore Chiropractic Center PA
Organization Active NPI Chiropractor · Keyport, NJ
NPI 1205995115 · NPPES record last updated Aug 22, 2020
Key facts
- NPI
- 1205995115
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Chiropractor 111N00000X
- Legal business name
- BAYSHORE CHIROPRACTIC CENTER PA
- Practice address
- 250 Maple Place
Keyport, NJ 07735-1144 - Phone
- (732) 264-8900
- Fax
- (732) 264-0156
- NPI assigned
- Dec 6, 2006
- Organization subpart
- No
Authorized official
- Name
- Charles M Dietrich, DC
- Title
- President
- Phone
- (732) 264-8900
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor |
111N00000X | Yes |
Addresses
Primary practice location
250 Maple Place
Keyport, NJ 07735-1144
Mailing address
250 Maple Place
Keyport, NJ 07735-1144
Phone (732) 264-8900
Other names
- Alliance Rehab
Other providers in Keyport, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 22, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.