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NPI Code Detail

MEDICARE: HENDLEY CHIROPRACTIC CENTER LLC

MEDICARE: HENDLEY CHIROPRACTIC CENTER 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
1111N00000XChiropractor38MC00639900NJ

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
212438166OTHERNJMULTIPLAN
37290801OTHERNJAETNA
41003914623OTHERNJNPI PERSONAL ID NUMBER
52724756000OTHERNJAMERIHEALTH

General Provider Information

NPI Number : 1598814188
Entity Type Code : Organization
Provider Name (Legal Business Name) : HENDLEY CHIROPRACTIC CENTER LLC
Provider Business Mailing Address
First Line : 30 S MAINE AVE
Second Line :
City : ATLANTIC CITY
State : NJ
Zip : 08401-7922
Country : US
Telephone Number : 609-839-9408
Fax Number :
Provider Business Practice Location Address
First Line : 52 E NEW YORK AVE
Second Line :
City : SOMERS POINT
State : NJ
Zip : 08244-2380
Country : US
Telephone Number : 609-788-3539
Fax Number : 609-788-3582
Authorized Official
Title or Position : OWNER
Name : DR. MICHAEL SIMON HENDLEY
Credential : D.C
Telephone Number : 609-788-3539
Provider Enumeration Date : 01/10/2007
Last Update Date : 08/22/2020

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Directions to “HENDLEY CHIROPRACTIC CENTER LLC ” Practice Location

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