Provider Demographics
NPI:1396945093
Name:KAT CHIROPRACTIC LLC
Entity type:Organization
Organization Name:KAT CHIROPRACTIC LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:JANTY
Authorized Official - Middle Name:
Authorized Official - Last Name:KAT
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:973-553-0562
Mailing Address - Street 1:261 HALEDON AVE
Mailing Address - Street 2:
Mailing Address - City:HALEDON
Mailing Address - State:NJ
Mailing Address - Zip Code:07508-1925
Mailing Address - Country:US
Mailing Address - Phone:973-553-0562
Mailing Address - Fax:973-790-4869
Practice Address - Street 1:261 HALEDON AVE
Practice Address - Street 2:
Practice Address - City:HALEDON
Practice Address - State:NJ
Practice Address - Zip Code:07508-1925
Practice Address - Country:US
Practice Address - Phone:973-553-0562
Practice Address - Fax:973-790-4869
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-07-20
Last Update Date:2007-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty