Executive Spinal Care, LLC
Organization Active NPI Chiropractor · Towaco, NJ
NPI 1497968077 · NPPES record last updated Nov 6, 2017
Key facts
- NPI
- 1497968077
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Chiropractor 111N00000X
- License
- 38MC00640400 (NJ)
- Legal business name
- EXECUTIVE SPINAL CARE, LLC
- Practice address
- 36 Douglas Dr
Towaco, NJ 07082-1437 - Phone
- (973) 477-3470
- Fax
- (973) 616-2921
- NPI assigned
- May 8, 2007
- Organization subpart
- No
Authorized official
- Name
- Dr. Peter Walsh, D.C.
- Title
- Member
- Phone
- (973) 477-3470
National Provider Directory
Locations
681 Lawlins Rd
Unit 195
Wyckoff, NJ 07481
Phone (201) 365-7447
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor |
111N00000X | 38MC00640400 | NJ | Yes |
Addresses
Primary practice location
36 Douglas Dr
Towaco, NJ 07082-1437
Mailing address
36 Douglas Dr
Towaco, NJ 07082-1437
Phone (973) 477-3470
Other providers in Towaco, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 6, 2017. 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.