Healthcare Provider Details

I. General information

NPI: 1255804514
Provider Name (Legal Business Name): BETTER U NUTRITION & CHIROPRACTIC LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/09/2019
Last Update Date: 01/16/2020
Certification Date: 01/16/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

201 S PARK AVE
LINDEN NJ
07036-1101
US

IV. Provider business mailing address

7 RIVERVIEW AVE
LODI NJ
07644-2060
US

V. Phone/Fax

Practice location:
  • Phone: 201-588-5290
  • Fax:
Mailing address:
  • Phone: 201-588-5390
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code171100000X
TaxonomyAcupuncturist
License Number
License Number State

VIII. Authorized Official

Name: LAUREN KUCHNO
Title or Position: OFFICE REP
Credential:
Phone: 833-789-3227