MEDICARE: OCEAN 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	:	1770649030
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	OCEAN CHIROPRACTIC

Provider Business Mailing Address
First Line	:	490 LAKEHURST RD
Second Line	:
City	:	TOMS RIVER
State	:	NJ
Zip	:	08755-8053
Country	:	US
Telephone Number	:	732-244-8585
Fax Number	:	732-244-2989

Provider Business Practice Location Address
First Line	:	490 LAKEHURST RD
Second Line	:
City	:	TOMS RIVER
State	:	NJ
Zip	:	08755-8053
Country	:	US
Telephone Number	:	732-244-8585
Fax Number	:	732-244-2989

Authorized Official
Title or Position	:	OWNER
Name	:	DR. DENISE MARIE BURR
Credential	:	DC
Telephone Number	:	732-244-8585

Provider Enumeration Date	:	12/29/2006
Last Update Date	:	01/17/2008

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Directions to “OCEAN CHIROPRACTIC ” Practice Location

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