| NPI | 1952461360 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIC ALLEN NELSON Co Owner 856-767-8800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: NJ 38MC00520400) |
| Additional Taxonomies | 111NR0400X Chiropractor, Rehabilitation (Licence: NJ 38MC00520400) |
| 111NS0005X Chiropractor, Sports Physician (Licence: NJ 38MC00520400) | |
| Enumeration Date | 2006-12-08 |
| Last Update Date | 2008-02-04 |