MEDICARE: DR. MITCHELL ANDREW PERNAL II D.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	38MC00689100	NJ

General Provider Information

NPI Number	:	1932500212
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MITCHELL ANDREW PERNAL II D.C

Provider Business Mailing Address
First Line	:	728 BENNETTS MILLS RD
Second Line	:
City	:	JACKSON
State	:	NJ
Zip	:	08527-3850
Country	:	US
Telephone Number	:	732-415-1401
Fax Number	:

Provider Business Practice Location Address
First Line	:	728 BENNETTS MILLS RD
Second Line	:
City	:	JACKSON
State	:	NJ
Zip	:	08527-3850
Country	:	US
Telephone Number	:	732-415-1401
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/05/2014
Last Update Date	:	09/05/2014

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