Provider Demographics
NPI:1427161108
Name:SKRAITZ CENTER FOR CHIROPRACTIC NEUROLOGY, PC
Entity type:Organization
Organization Name:SKRAITZ CENTER FOR CHIROPRACTIC NEUROLOGY, PC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:BARRY
Authorized Official - Last Name:SKRAITZ
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:856-778-1466
Mailing Address - Street 1:3829 CHURCH RD
Mailing Address - Street 2:SUITE B
Mailing Address - City:MOUNT LAUREL
Mailing Address - State:NJ
Mailing Address - Zip Code:08054-1105
Mailing Address - Country:US
Mailing Address - Phone:856-778-1466
Mailing Address - Fax:856-778-0060
Practice Address - Street 1:3829 CHURCH RD
Practice Address - Street 2:SUITE B
Practice Address - City:MOUNT LAUREL
Practice Address - State:NJ
Practice Address - Zip Code:08054-1105
Practice Address - Country:US
Practice Address - Phone:856-778-1466
Practice Address - Fax:856-778-0060
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-16
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ38MC00527300111NN0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111NN0400XChiropractic ProvidersChiropractorNeurologyGroup - Single Specialty