Healthcare Provider Details

I. General information

NPI: 1427236074
Provider Name (Legal Business Name): REGIONAL CHIROPRACTIC CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/06/2008
Last Update Date: 02/06/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 APPLE ORCHARD RD
MOORESTOWN NJ
08057
US

IV. Provider business mailing address

1 APPLE ORCHARD RD
MOORESTOWN NJ
08057-3843
US

V. Phone/Fax

Practice location:
  • Phone: 856-342-9500
  • Fax: 856-342-9515
Mailing address:
  • Phone: 609-923-7314
  • Fax: 856-222-1891

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number
License Number State

VIII. Authorized Official

Name: DR. CHARLES MICHAEL MCCABE
Title or Position: PRESIDENT
Credential: D.C.
Phone: 856-342-9500