MEDICARE: PAT SMITH CHIROPRACTIC SERVICES LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor

General Provider Information

NPI Number	:	1144569088
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PAT SMITH CHIROPRACTIC SERVICES LLC

Provider Business Mailing Address
First Line	:	PO BOX 611
Second Line	:
City	:	PEAPACK
State	:	NJ
Zip	:	07977-0611
Country	:	US
Telephone Number	:	908-464-8899
Fax Number	:	908-464-0199

Provider Business Practice Location Address
First Line	:	261 SPRINGFIELD AVE STE 202
Second Line	:
City	:	BERKELEY HEIGHTS
State	:	NJ
Zip	:	07922-1264
Country	:	US
Telephone Number	:	908-464-8899
Fax Number	:	908-464-0199

Authorized Official
Title or Position	:	OWNER
Name	:	DR. PATRICK RAFFERTY SMITH
Credential	:	D.C.
Telephone Number	:	908-464-8899

Provider Enumeration Date	:	02/13/2013
Last Update Date	:	07/11/2022

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