Individual provider · Type 1 NPI
Michael Walter Connelly, DC
Chiropractor · South Hackensack, NJ
NPI number
1790077576
Active
Practice location
60 Saddle River Ave
South Hackensack, NJ 07606-1952
Mailing address
24 Hemlock St
Oakland, NJ 07436-1829
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor Primary | 111N00000X | 38MC00691700 (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
About NPI 1790077576
Michael Walter Connelly, DC's National Provider Identifier is 1790077576, issued on May 11, 2011. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in South Hackensack, NJ. The record was last updated on May 11, 2011.