Provider Demographics
NPI:1174799142
Name:HEALTH FIRST CHIROPRACTIC CENTER, LLC
Entity type:Organization
Organization Name:HEALTH FIRST CHIROPRACTIC CENTER, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OPERATING MANAGER/CHIROPRACTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:THEODORA
Authorized Official - Middle Name:CHRISTINE
Authorized Official - Last Name:CARAWAY
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:609-744-3428
Mailing Address - Street 1:444 HURFFVILLE CROSSKEYS RD
Mailing Address - Street 2:
Mailing Address - City:SEWELL
Mailing Address - State:NJ
Mailing Address - Zip Code:08080-2372
Mailing Address - Country:US
Mailing Address - Phone:856-218-2677
Mailing Address - Fax:856-218-2679
Practice Address - Street 1:444 HURFFVILLE CROSSKEYS RD
Practice Address - Street 2:
Practice Address - City:SEWELL
Practice Address - State:NJ
Practice Address - Zip Code:08080-2372
Practice Address - Country:US
Practice Address - Phone:856-218-2677
Practice Address - Fax:856-218-2679
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-30
Last Update Date:2008-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ38MC00626400111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty