PRO HEALTH SPORTS AND WELLNESS CENTER CHESTER LLC (NPI# 1972018778) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972018778 |
| Entity Type | Organization |
| Organization Name | PRO HEALTH SPORTS AND WELLNESS CENTER CHESTER LLC |
| Practice Address |
169 Route 206 Chester NJ 07930 |
| Mailing Address |
161 E Main St Denville NJ 07834-2647 |
| Practice Telephone | 9736277888 |
| Practice Fax Number | 9736277040 |
| Mailing Telephone | 9736277888 |
| Mailing Fax Number | 9736277040 |
| Enumeration Date | 2017-12-04 |
| Last Update Date | 2017-12-04 |
| Authorized Official Name | DERRICK LAWLOR (AUTHORIZED OFFICIAL) |
| Authorized Official Telephone | 9736277888 |
| Authorized Official Credential | D.C. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | Chiropractic Providers |
| Street Address |
169 ROUTE 206 |
| City | CHESTER |
| State | NJ |
| Zip Code | 07930 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659844884 | Prime Md, PC | Internal Medicine | 115 Route 206, Chester, NJ 07930 | 2019-01-10 |
| 1912436718 | Carlie Noelle Joyce | Registered Nurse | 183 Us 206 North, Chester, NJ 07930 | 2017-06-06 |
| 1275965691 | Sharon Buck | Counselor | 154 Route 206, Second Floor - Suite A, Chester, NJ 07930 | 2013-08-08 |
| 1205066123 | Nathan Spiegel | Internal Medicine | 32 Cooper Lane, Chester, NJ 07930 | 2009-07-27 |
| 1912160276 | Daniella Naomi Peer | Dentist | 530 Main Street, Suite 6b, Chester, NJ 07930 | 2008-07-08 |
| 1174704746 | Leslie Anne Dicola | Acupuncturist | 35 Perry Street, Chester, NJ 07930 | 2007-11-23 |
| 1902920689 | Gerard A. Begley | Dentist | 385 State Rt. 24, Ste 3b, Chester, NJ 07930 | 2007-03-19 |
| 1790809911 | Norma Glennon | Occupational Therapist | 201 Pleasant Hill Raod, Chester, NJ 07930 | 2007-03-16 |
| 1790837359 | Chester Surgery Center Corp | Plastic Surgery | 385 Route 24 Suite 3k, Chester, NJ 07930 | 2007-01-16 |
| 1174689681 | Christine F. Petrat | Social Worker | 154 Route 206 South, Chester, NJ 07930 | 2006-12-29 |
| Find all providers in zip 07930 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972078624 | Ap Chiropractic P.C. | Chiropractor | 78 Brookside Ave Ste 148, Chester, NY 10918-1060 | 2018-10-09 |
| 1962990051 | Craig Lee Weatherhead | Chiropractor | 520 Thayer Ave, Chester, NE 68327 | 2018-04-25 |
| 1568732360 | Jared J Destro | Chiropractor | 11936a Centre St, Chester, VA 23831-1701 | 2012-01-10 |
| 1891097929 | Mccarrin Chiropractic and Physical Therapy | Chiropractor | 721 Hayes St, Chester, PA 19013-2137 | 2010-11-22 |
| 1790937365 | Kelly Chiropractic Wellness Center PC | Chiropractor | 45 Brookside Ave., Chester, NY 10918-1409 | 2008-10-15 |
| 1528229135 | Lanae N Baker | Chiropractor | 116 S Piney Rd, Suite 110, Chester, MD 21619-2621 | 2008-06-17 |
| 1396915856 | Laurie Lasorsa | Chiropractor | 90 Fairmount Ave, Chester, NJ 07930-2612 | 2008-03-11 |
| 1255509964 | Jesse James Lufkin | Chiropractor | 39 Chester St, Chester, NH 03036-4308 | 2008-02-15 |
| 1366655268 | Adam Matthew Gibbs | Chiropractor | 423 W Holmes St, Chester, IL 62233 | 2007-05-07 |
| 1982816625 | Jodi Beth Buskohl Southern Il Chiropractic Clinic | Chiropractor | 2447 State St., Chester, IL 62233 | 2007-05-04 |
| Find all providers in CHESTER | ||||
Please comment or provide details below to improve the information on PRO HEALTH SPORTS AND WELLNESS CENTER CHESTER LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.