MEDICARE: BETTER U NUTRITION & CHIROPRACTIC 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	171100000X	Acupuncturist
2	111N00000X	Chiropractor

General Provider Information

NPI Number	:	1255804514
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BETTER U NUTRITION & CHIROPRACTIC LLC

Provider Business Mailing Address
First Line	:	7 RIVERVIEW AVE
Second Line	:
City	:	LODI
State	:	NJ
Zip	:	07644-2060
Country	:	US
Telephone Number	:	201-588-5390
Fax Number	:

Provider Business Practice Location Address
First Line	:	201 S PARK AVE
Second Line	:
City	:	LINDEN
State	:	NJ
Zip	:	07036-1101
Country	:	US
Telephone Number	:	201-588-5290
Fax Number	:

Authorized Official
Title or Position	:	OFFICE REP
Name	:	LAUREN KUCHNO
Credential	:
Telephone Number	:	833-789-3227

Provider Enumeration Date	:	01/09/2019
Last Update Date	:	01/16/2020

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