950 Cross, LLC
Organization Active NPI Sports Physician Chiropractor · Voorhees, NJ
NPI 1376589259 · NPPES record last updated Mar 31, 2008
Key facts
- NPI
- 1376589259
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Sports Physician Chiropractor 111NS0005X
- License
- 38MC00635900 (NJ)
- Legal business name
- 950 CROSS, LLC
- Practice address
- 1 Britton Place
Suite 10
Voorhees, NJ 08043-2514 - Phone
- (856) 772-6300
- Fax
- (856) 772-4931
- NPI assigned
- Jun 21, 2006
- Organization subpart
- No
Authorized official
- Name
- Dr. Michael W Birdsall, D.C.
- Title
- President
- Phone
- (856) 772-6300
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Sports Physician Chiropractor |
111NS0005X | 38MC00635900 | NJ | Yes |
Addresses
Primary practice location
1 Britton Place
Suite 10
Voorhees, NJ 08043-2514
Mailing address
1 Britton Place
Suite 10
Voorhees, NJ 08043-2514
Phone (856) 772-6300
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2785881000 | Other | NJ | AMERIHEALTH IBC |
Other names
- C. M. Chiropractic
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All providers in Voorhees, NJ · Sports Physician Chiropractor in New Jersey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 31, 2008. 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.