Healthcare Provider Details

I. General information

NPI: 1245697853
Provider Name (Legal Business Name): JOHN V. FIGURELLI CHIROPRACTIC, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/27/2016
Last Update Date: 03/17/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 VILLAGE CT SUITE 100
HAZLET NJ
07730-1548
US

IV. Provider business mailing address

100 VILLAGE CT SUITE 100
HAZLET NJ
07730-1548
US

V. Phone/Fax

Practice location:
  • Phone: 732-275-6195
  • Fax: 732-275-6196
Mailing address:
  • Phone: 732-275-6195
  • Fax: 732-275-6196

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State

VIII. Authorized Official

Name: DR. JOHN V FIGURELLI
Title or Position: OWNER
Credential: D.C.
Phone: 732-275-6195