Provider Demographics
NPI:1750906152
Name:MININSOHN CHIROPRACTIC & ACUPUNCTURE CENTER
Entity type:Organization
Organization Name:MININSOHN CHIROPRACTIC & ACUPUNCTURE CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ERIC
Authorized Official - Middle Name:S
Authorized Official - Last Name:MININSOHN
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:848-444-0660
Mailing Address - Street 1:702 BREWERS BRIDGE RD
Mailing Address - Street 2:
Mailing Address - City:JACKSON
Mailing Address - State:NJ
Mailing Address - Zip Code:08527-2052
Mailing Address - Country:US
Mailing Address - Phone:848-444-0660
Mailing Address - Fax:732-577-0468
Practice Address - Street 1:702 BREWERS BRIDGE RD
Practice Address - Street 2:
Practice Address - City:JACKSON
Practice Address - State:NJ
Practice Address - Zip Code:08527-2052
Practice Address - Country:US
Practice Address - Phone:848-444-0660
Practice Address - Fax:732-577-0468
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-06-11
Last Update Date:2020-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111NS0005XChiropractic ProvidersChiropractorSports PhysicianGroup - Single Specialty