Healthcare Provider Details

I. General information

NPI: 1043635121
Provider Name (Legal Business Name): CHIRO AT STIRLING LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/26/2014
Last Update Date: 02/26/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1272 LONG HILL RD
STIRLING NJ
07980-1010
US

IV. Provider business mailing address

PO BOX 7240
JUPITER FL
33468-7240
US

V. Phone/Fax

Practice location:
  • Phone: 908-504-2700
  • Fax:
Mailing address:
  • Phone: 561-748-2889
  • Fax: 561-748-1523

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: KAREN BARLOW
Title or Position: PRESIDENT, JUPITER PROFESSIONAL DEV
Credential:
Phone: 561-748-2889