MEDICARE: MARSHALL CHIROPRACTIC, L.L.C

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor	38MC00508700	NJ

General Provider Information

NPI Number	:	1023297645
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MARSHALL CHIROPRACTIC, L.L.C

Provider Business Mailing Address
First Line	:	1195 MAIN AVE
Second Line	:
City	:	CLIFTON
State	:	NJ
Zip	:	07011-2242
Country	:	US
Telephone Number	:	973-772-7676
Fax Number	:

Provider Business Practice Location Address
First Line	:	1195 MAIN AVE
Second Line	:
City	:	CLIFTON
State	:	NJ
Zip	:	07011-2252
Country	:	US
Telephone Number	:	973-772-7676
Fax Number	:

Authorized Official
Title or Position	:	CHIROPRACTOR
Name	:	DR. JAMES A. MARSHALL
Credential	:	D.C.
Telephone Number	:	973-772-7676

Provider Enumeration Date	:	10/31/2007
Last Update Date	:	02/01/2024

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