Provider Demographics
NPI:1063954253
Name:MARSHA SCHREIBER DC LLC
Entity type:Organization
Organization Name:MARSHA SCHREIBER DC LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:MARSHA
Authorized Official - Middle Name:
Authorized Official - Last Name:SCHREIBER
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:732-672-8461
Mailing Address - Street 1:208 LINCOLN AVE
Mailing Address - Street 2:
Mailing Address - City:HIGHLAND PARK
Mailing Address - State:NJ
Mailing Address - Zip Code:08904-1827
Mailing Address - Country:US
Mailing Address - Phone:732-672-8461
Mailing Address - Fax:
Practice Address - Street 1:208 LINCOLN AVE
Practice Address - Street 2:
Practice Address - City:HIGHLAND PARK
Practice Address - State:NJ
Practice Address - Zip Code:08904-1827
Practice Address - Country:US
Practice Address - Phone:732-672-8461
Practice Address - Fax:732-253-0743
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-11-05
Last Update Date:2016-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMC04284111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty