Healthcare Provider Details

I. General information

NPI: 1609813013
Provider Name (Legal Business Name): SOMERSET COUNTY CHIROPRACTIC CENTER, P.A.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/02/2006
Last Update Date: 06/16/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

373 E MAIN ST SUITE 10
SOMERVILLE NJ
08876-3143
US

IV. Provider business mailing address

373 E MAIN ST SUITE 10
SOMERVILLE NJ
08876-3143
US

V. Phone/Fax

Practice location:
  • Phone: 908-526-5868
  • Fax: 908-253-9826
Mailing address:
  • Phone: 908-526-5868
  • Fax: 908-253-9826

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: DR. JAMES R GOLDING
Title or Position: OWNER
Credential: D.C.,C.A.
Phone: 908-526-5868