Healthcare Provider Details

I. General information

NPI: 1245439280
Provider Name (Legal Business Name): ENRIGHT CHIROPRACTIC, L.L.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/11/2007
Last Update Date: 07/11/2007
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 Code111NS0005X
TaxonomySports Physician Chiropractor
License NumberMC5174
License Number StateNJ

VIII. Authorized Official

Name: DR. JAMES JOSEPH ENRIGHT SR.
Title or Position: OWNER
Credential: D.C.
Phone: 732-830-8400