Branchville Family Chiropractic, LLC
Organization Active NPI Chiropractor · Branchville, NJ
NPI 1720144926 · NPPES record last updated Aug 22, 2020
Key facts
- NPI
- 1720144926
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Chiropractor 111N00000X
- Legal business name
- BRANCHVILLE FAMILY CHIROPRACTIC, LLC
- Practice address
- 10 Newton Ave
Branchville, NJ 07826-5511 - Phone
- (973) 948-5556
- Fax
- (973) 948-2535
- NPI assigned
- Dec 29, 2006
- Organization subpart
- No
Authorized official
- Name
- Gregory Alan Stetzel, D.C.
- Title
- Managing Partner
- Phone
- (973) 948-5556
Practitioners 1
-
Kim Rahuba Stetzel, D.C.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NJ
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20060119000732 | NJ | Part B Supplier - Clinic/Group Practice | 0143244954 |
Receives reassigned benefits from 1 practitioner Practice locations: Branchville, NJ |
National Provider Directory
Locations
10 Newton Ave
Branchville, NJ 07826
Phone (973) 948-5556
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor |
111N00000X | Yes |
Addresses
Primary practice location
10 Newton Ave
Branchville, NJ 07826-5511
Mailing address
10 Newton Ave
Branchville, NJ 07826-5511
Phone (973) 948-5556
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1140285 | Other | AETNA INSURANCE ID |
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All providers in Branchville, NJ · 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 Aug 22, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.