Provider Demographics
NPI:1215153564
Name:BERNARDS CHIROPRACTIC LLC
Entity type:Organization
Organization Name:BERNARDS CHIROPRACTIC LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:LISA
Authorized Official - Middle Name:MULLER
Authorized Official - Last Name:MUNOZ
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:908-221-0400
Mailing Address - Street 1:188 MORRISTOWN RD
Mailing Address - Street 2:ROUTE 202
Mailing Address - City:BASKING RIDGE
Mailing Address - State:NJ
Mailing Address - Zip Code:07920-1651
Mailing Address - Country:US
Mailing Address - Phone:908-221-0400
Mailing Address - Fax:908-221-9446
Practice Address - Street 1:188 MORRISTOWN RD
Practice Address - Street 2:ROUTE 202
Practice Address - City:BASKING RIDGE
Practice Address - State:NJ
Practice Address - Zip Code:07920-1651
Practice Address - Country:US
Practice Address - Phone:908-221-0400
Practice Address - Fax:908-221-9446
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-17
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ38MC00426500111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ084946Medicare ID - Type UnspecifiedGROUP PROVIDER ID PIN