Provider Demographics
NPI:1194077578
Name:HOLISTIC HEALTH & WELLNESS CENTER. LLC
Entity type:Organization
Organization Name:HOLISTIC HEALTH & WELLNESS CENTER. LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/CHIROPRACTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:CHRISTINE
Authorized Official - Middle Name:T
Authorized Official - Last Name:LAPAGLIA
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:201-391-2285
Mailing Address - Street 1:595 CHESTNUT RIDGE RD
Mailing Address - Street 2:SUITE 7A
Mailing Address - City:WOODCLIFF LAKE
Mailing Address - State:NJ
Mailing Address - Zip Code:07677-7663
Mailing Address - Country:US
Mailing Address - Phone:201-391-2285
Mailing Address - Fax:201-391-2287
Practice Address - Street 1:595 CHESTNUT RIDGE RD
Practice Address - Street 2:SUITE 7A
Practice Address - City:WOODCLIFF LAKE
Practice Address - State:NJ
Practice Address - Zip Code:07677-7663
Practice Address - Country:US
Practice Address - Phone:201-391-2285
Practice Address - Fax:201-391-2287
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-10-09
Last Update Date:2012-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ38MC00627300111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJV03285Medicare UPIN
NJ087208Medicare PIN