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General NPI Number Information
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NPI Number | 1669951760
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Entity Type | Organization
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Legal Business Name | POLLARD CHIROPRACTIC CENTER
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Dates
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Enumeration Date | 08/09/2018
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Last Update Date | 11/27/2018
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Provider Practice Location Address
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Address Line | 500 W MAIN ST
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City | FREEHOLD
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State | NJ
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Zip | 07728-2500
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Country | US
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Telephone | 732-992-6326
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Fax | 732-409-0279
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Provider Business Mailing Address
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Address Line | 500 W MAIN ST
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City | FREEHOLD
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State | NJ
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Zip | 07728-2500
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Country | US
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Telephone | 732-992-6326
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Fax | 732-409-0279
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Authorized Official
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Title or Position | OWNER/DIRECTOR
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Name | DR. MICHAEL LEE POLLARD
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Credential | D.C.
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Telephone | 732-992-6326
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 38MC00565300
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License Number State | NJ
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