Healthcare Provider Details
I. General information
NPI: 1699929554
Provider Name (Legal Business Name): SENTE CHIROPRACTIC CENTER, PC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 11/05/2008
Last Update Date: 04/15/2009
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
224 MIDLAND AVE
SADDLE BROOK NJ
07663-6411
US
IV. Provider business mailing address
224 MIDLAND AVE
SADDLE BROOK NJ
07663-6411
US
V. Phone/Fax
- Phone: 973-478-2212
- Fax: 973-478-2123
- Phone: 973-478-2212
- Fax: 973-478-2123
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 111N00000X |
| Taxonomy | Chiropractor |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 225100000X |
| Taxonomy | Physical Therapist |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
ROBERT
SENTE
Title or Position: PRESIDENT
Credential: DC
Phone: 973-478-2212