| Chiropractic Health Clinic Of Sparta, Llc | |
|
33 Woodport Rd, Sparta, NJ 07871-2431 | |
| (973) 214-5161 | |
| Not Available |
| Full Name | Chiropractic Health Clinic Of Sparta, Llc |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 33 Woodport Rd, Sparta, New Jersey |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407224389 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | MC04489 (New Jersey) | Primary |
| Provider Name | Michael L Feld |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1013959261 PECOS PAC ID: 8123213162 Enrollment ID: I20101116000549 |
| Provider Name | John J Willix |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1467495150 PECOS PAC ID: 5294923355 Enrollment ID: I20101221000732 |
| Provider Name | Jared M Duddy |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1316008022 PECOS PAC ID: 7911947320 Enrollment ID: I20180824001631 |
| Mailing Address | Practice Location Address |
|---|---|
| Chiropractic Health Clinic Of Sparta, Llc 33 Woodport Rd, Sparta, NJ 07871-2431 Ph: (973) 214-5161 | Chiropractic Health Clinic Of Sparta, Llc 33 Woodport Rd, Sparta, NJ 07871-2431 Ph: (973) 214-5161 |
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