Organization · Type 2 NPI
Evergreen Spine & Rehabilitation Center, LLC
Chiropractor · East Orange, NJ
NPI number
1649768748
Active
Practice location
134 Evergreen Pl Ste 501
East Orange, NJ 07018-2010
Fax (973) 678-7839
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor Primary | 111N00000X | 38MC00451300 (NJ) |
Chiropractor: A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
Another provider at this address
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About NPI 1649768748
Evergreen Spine & Rehabilitation Center, LLC's National Provider Identifier is 1649768748, issued on Apr 25, 2018. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in East Orange, NJ. The record was last updated on Apr 25, 2018.