Healthcare Provider Details

I. General information

NPI: 1639332943
Provider Name (Legal Business Name): MAJOR ADJUSTMENTS, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/07/2008
Last Update Date: 05/06/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6310 BERGENLINE AVE
WEST NEW YORK NJ
07093-1620
US

IV. Provider business mailing address

6310 BERGENLINE AVE
WEST NEW YORK NJ
07093-1620
US

V. Phone/Fax

Practice location:
  • Phone: 201-869-6220
  • Fax: 201-869-5145
Mailing address:
  • Phone: 201-869-6220
  • Fax: 201-869-5145

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number38MC00505000
License Number StateNJ
# 2
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number40QA01198200
License Number StateNJ
# 3
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. DANIEL W MAENNER
Title or Position: DOCTOR OF OSTEOPATHY
Credential: D. O.
Phone: 201-869-6220