Organization Name: | ADVANCED SPINE AND WELLNESS |
NPI Number: | 1053772277 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | DAVID MARSHALL KLAYMAN (PRESIDENT) |
Mailing Address: | 244 Livingston St Suite D Northvale |
State: | NJ US |
Postal Code: | 076471996 |
Phone Number: | 2012971700 |
Fax Number: | 2012971212 |
NPI Enumeration Date: | 03/15/2016 |
NPI Last Update Date: | 03/15/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 111N00000X |
License Number: | 38MC00724800 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NJ |
Taxonomy Type: | Chiropractic Providers |
Taxonomy Classification: | Chiropractor |
Taxonomy Specialization: | |
Taxonomy Definition: | 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. |