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Contact Information

COASTAL CHIROPRACTIC AND ACUPUNCTURE
106 E JIMMIE LEEDS RD
GALLOWAY, NJ08205-9508
 Phone: 609-748-8779
 Fax: 609-652-6687
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Chiropractor

111N00000X 35 Chiropractic
 

Acupuncturist

171100000X
Indicates primary specialty

NPI Profile & details for COASTAL CHIROPRACTIC AND ACUPUNCTURE

NPI # 1992160816
LBN Legal business name COASTAL CHIROPRACTIC AND ACUPUNCTURE
Authorized official FRED CHANG - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 12/18/2015
Last updated 06/15/2021 - About 5 years ago
Identifiers
NJ License # 25MZ00032700
NJ License # 38MC00600700
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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