Provider Demographics
NPI:1982408985
Name:DR. AUGUST FAMILY CHIROPRACTOR LLC
Entity type:Organization
Organization Name:DR. AUGUST FAMILY CHIROPRACTOR LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:AUGUST
Authorized Official - Middle Name:
Authorized Official - Last Name:BAUSEWEIN
Authorized Official - Suffix:IV
Authorized Official - Credentials:DC
Authorized Official - Phone:201-316-6226
Mailing Address - Street 1:1155 GOFFLE RD
Mailing Address - Street 2:
Mailing Address - City:HAWTHORNE
Mailing Address - State:NJ
Mailing Address - Zip Code:07506-2025
Mailing Address - Country:US
Mailing Address - Phone:201-316-6226
Mailing Address - Fax:
Practice Address - Street 1:260 GODWIN AVE STE 8
Practice Address - Street 2:
Practice Address - City:WYCKOFF
Practice Address - State:NJ
Practice Address - Zip Code:07481-2099
Practice Address - Country:US
Practice Address - Phone:201-816-6226
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-04-01
Last Update Date:2025-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty