Provider Demographics
NPI:1487156493
Name:HEALING HANDS CHIROPRACTIC CENTER LLC
Entity type:Organization
Organization Name:HEALING HANDS CHIROPRACTIC CENTER LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIROPRACTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:BERNADETTE
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:VALLOROSI
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:973-725-9487
Mailing Address - Street 1:70 YELLOW FRAME RD
Mailing Address - Street 2:
Mailing Address - City:NEWTON
Mailing Address - State:NJ
Mailing Address - Zip Code:07860-5400
Mailing Address - Country:US
Mailing Address - Phone:973-725-9487
Mailing Address - Fax:
Practice Address - Street 1:53 SPARTA AVE
Practice Address - Street 2:
Practice Address - City:SPARTA
Practice Address - State:NJ
Practice Address - Zip Code:07871-1814
Practice Address - Country:US
Practice Address - Phone:973-725-9487
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-03-06
Last Update Date:2018-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ38MC00554500111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty