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Contact Information

BERGEN CHIROPRACTIC AND SPORTS REHABILITATION CENTER, INC.
532 ANDERSON AVE
CLIFFSIDE PARK, NJ07010-1721
 Phone: 201-945-4075
 Fax: 201-945-4070
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Sports Physician

111NS0005X 35 Chiropractic
Indicates primary specialty

NPI Profile & details for BERGEN CHIROPRACTIC AND SPORTS REHABILITATION CENTER, INC.

NPI # 1992857858
LBN Legal business name BERGEN CHIROPRACTIC AND SPORTS REHABILITATION CENTER, INC.
Authorized official GREGORY DOERR - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 01/18/2007
Last updated 07/12/2007 - About 19 years ago
Identifiers
NJ License # 5189
NJ Other 5899548 GHI
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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