MEDICARE: NJP CHIROPRACTIC CORP

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	7499	AZ

General Provider Information

NPI Number	:	1417128190
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NJP CHIROPRACTIC CORP

Provider Business Mailing Address
First Line	:	8390 E VIA DE VENTURA
Second Line	:	SUITE F114
City	:	SCOTTSDALE
State	:	AZ
Zip	:	85258-3188
Country	:	US
Telephone Number	:	480-998-7501
Fax Number	:	480-998-5503

Provider Business Practice Location Address
First Line	:	8390 E VIA DE VENTURA
Second Line	:	SUITE F114
City	:	SCOTTSDALE
State	:	AZ
Zip	:	85258-3188
Country	:	US
Telephone Number	:	480-998-7501
Fax Number	:	480-998-5503

Authorized Official
Title or Position	:	OWNER
Name	:	DR. NICHOLAS PREGONT
Credential	:	D.C.
Telephone Number	:	480-998-7501

Provider Enumeration Date	:	03/20/2008
Last Update Date	:	03/20/2008

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1982978987 — B&D THERAPIES
Practice Location Address:

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Practice Fax:

Directions to “NJP CHIROPRACTIC CORP ” Practice Location

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