Healthcare Provider Details
I. General information
NPI: 1932150141
Provider Name (Legal Business Name): HEALTH BUILDERS CHIROPRACTIC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 05/12/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
687 ROUTE 9
BAYVILLE NJ
08721-2539
US
IV. Provider business mailing address
687 ROUTE 9
BAYVILLE NJ
08721-2539
US
V. Phone/Fax
- Phone: 732-237-2200
- Fax: 732-606-9264
- Phone: 732-237-2200
- Fax: 732-606-9264
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 111N00000X |
| Taxonomy | Chiropractor |
| License Number | MC03963 |
| License Number State | NJ |
VIII. Authorized Official
Name: DR.
DANIEL
BIES
Title or Position: OWNER
Credential: DC
Phone: 732-237-2200