Healthcare Provider Details

I. General information

NPI: 1366581902
Provider Name (Legal Business Name): KUTSCHMAN CHIROPRACTIC AND ACUPUNCTURE CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/06/2007
Last Update Date: 11/04/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

494 SYCAMORE AVENUE SUITE 205
SHREWSBURY NJ
07702-4218
US

IV. Provider business mailing address

494 SYCAMORE AVENUE SUITE 205
SHREWSBURY NJ
07702-4218
US

V. Phone/Fax

Practice location:
  • Phone: 732-747-5022
  • Fax: 732-747-5882
Mailing address:
  • Phone: 732-747-5022
  • Fax: 732-747-5882

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code171100000X
TaxonomyAcupuncturist
License Number25MZ00022900
License Number StateNJ
# 2
Primary TaxonomyN
Taxonomy Code171100000X
TaxonomyAcupuncturist
License Number001852-1
License Number StateNY
# 3
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number38MC00194700
License Number StateNJ

VIII. Authorized Official

Name: JESSICA BUDION
Title or Position: OFFICE MANAGER
Credential:
Phone: 732-747-5022