MEDICARE: ESSENTIAL LIFE CHIROPRACTIC

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	:	1215623244
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ESSENTIAL LIFE CHIROPRACTIC

Provider Business Mailing Address
First Line	:	1 BROAD ST STE 6
Second Line	:
City	:	FREEHOLD
State	:	NJ
Zip	:	07728-1753
Country	:	US
Telephone Number	:	732-780-8802
Fax Number	:

Provider Business Practice Location Address
First Line	:	1 BROAD ST STE 6
Second Line	:
City	:	FREEHOLD
State	:	NJ
Zip	:	07728-1753
Country	:	US
Telephone Number	:	173-278-0880
Fax Number	:	732-780-8803

Authorized Official
Title or Position	:	OWNER
Name	:	DR. DESIREE CURLEY
Credential	:	DC
Telephone Number	:	732-780-8802

Provider Enumeration Date	:	04/13/2023
Last Update Date	:	04/13/2023

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Directions to “ESSENTIAL LIFE CHIROPRACTIC ” Practice Location

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