Healthcare Provider Details

I. General information

NPI: 1477654572
Provider Name (Legal Business Name): JAMES JOSEPH ENRIGHT SR. D.C.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/25/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

907 GRAND CENTRAL AVE
LAVALLETTE NJ
08735-2219
US

IV. Provider business mailing address

907 GRAND CENTRAL AVE
LAVALLETTE NJ
08735-2219
US

V. Phone/Fax

Practice location:
  • Phone: 732-830-8400
  • Fax: 732-830-8499
Mailing address:
  • Phone: 732-830-8400
  • Fax: 732-830-8499

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberMC05174
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: