Provider Demographics
NPI: | 1891035788 |
---|---|
Name: | THERMOWELLNESS |
Entity type: | Organization |
Organization Name: | THERMOWELLNESS |
Other - Org Name: | |
Other - Org Type: | |
Authorized Official - Title/Position: | CHIROPRACTOR, OWNER |
Authorized Official - Prefix: | DR |
Authorized Official - First Name: | ANTHONY |
Authorized Official - Middle Name: | |
Authorized Official - Last Name: | PIANA |
Authorized Official - Suffix: | |
Authorized Official - Credentials: | DC |
Authorized Official - Phone: | 888-800-8404 |
Mailing Address - Street 1: | 1 SEARS DR |
Mailing Address - Street 2: | 4TH FLOOR AIM CENTER |
Mailing Address - City: | PARAMUS |
Mailing Address - State: | NJ |
Mailing Address - Zip Code: | 07652-3515 |
Mailing Address - Country: | US |
Mailing Address - Phone: | 888-800-8404 |
Mailing Address - Fax: | |
Practice Address - Street 1: | 1 SEARS DR |
Practice Address - Street 2: | 4TH FLOOR AIM CENTER |
Practice Address - City: | PARAMUS |
Practice Address - State: | NJ |
Practice Address - Zip Code: | 07652-3515 |
Practice Address - Country: | US |
Practice Address - Phone: | 888-800-8404 |
Practice Address - Fax: | |
EIN: | <UNAVAIL> |
Is Organization Subpart?: | No |
Parent Organization LBN: | |
Parent Organization TIN: | |
Enumeration Date: | 2013-02-28 |
Last Update Date: | 2013-02-28 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Licenses
State | License ID | Taxonomies |
---|---|---|
NJ | 38MC00692000 | 111NT0100X |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization | Group |
---|---|---|---|---|---|
Yes | 111NT0100X | Chiropractic Providers | Chiropractor | Thermography | Group - Multi-Specialty |