MEDICARE: LEXINGTON CHIROPRACTIC

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	38MC00237600	NJ
2	111N00000X	Chiropractor	38MC00189300	NJ
3	111N00000X	Chiropractor	38MC00220100	NJ

General Provider Information

NPI Number	:	1518181064
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LEXINGTON CHIROPRACTIC

Provider Business Mailing Address
First Line	:	322 W SADDLE RIVER RD
Second Line	:
City	:	UPPER SADDLE RIVER
State	:	NJ
Zip	:	07458-2121
Country	:	US
Telephone Number	:	201-327-0919
Fax Number	:	201-327-2444

Provider Business Practice Location Address
First Line	:	211 LEXINGTON AVE
Second Line	:
City	:	PASSAIC
State	:	NJ
Zip	:	07055-6206
Country	:	US
Telephone Number	:	973-614-9533
Fax Number	:	973-614-8131

Authorized Official
Title or Position	:	OWNER
Name	:	DR. HANS D KALCHBRENNER
Credential	:	DC
Telephone Number	:	973-614-9533

Provider Enumeration Date	:	04/13/2007
Last Update Date	:	02/22/2012

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Directions to “LEXINGTON CHIROPRACTIC ” Practice Location

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