Provider Demographics
NPI:1598049496
Name:HEALING ARTS CENTER FOR CHIROPRACTIC REHABILITATION LLC
Entity type:Organization
Organization Name:HEALING ARTS CENTER FOR CHIROPRACTIC REHABILITATION LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ANTHONY
Authorized Official - Middle Name:
Authorized Official - Last Name:CARUSONE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:732-388-7781
Mailing Address - Street 1:724 RARITAN RD
Mailing Address - Street 2:
Mailing Address - City:CLARK
Mailing Address - State:NJ
Mailing Address - Zip Code:07066-2207
Mailing Address - Country:US
Mailing Address - Phone:732-388-7781
Mailing Address - Fax:732-388-8191
Practice Address - Street 1:724 RARITAN RD
Practice Address - Street 2:
Practice Address - City:CLARK
Practice Address - State:NJ
Practice Address - Zip Code:07066-2207
Practice Address - Country:US
Practice Address - Phone:732-388-7781
Practice Address - Fax:732-388-8191
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-10-11
Last Update Date:2013-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ38MC00369700111NX0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111NX0800XChiropractic ProvidersChiropractorOrthopedicGroup - Single Specialty