Provider Demographics
NPI:1144699018
Name:OH CHIROPRACTIC CARE, PC
Entity type:Organization
Organization Name:OH CHIROPRACTIC CARE, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIROPRACTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:MINSOK
Authorized Official - Middle Name:
Authorized Official - Last Name:HAN
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:973-803-8130
Mailing Address - Street 1:60 PARK PL
Mailing Address - Street 2:#402
Mailing Address - City:NEWARK
Mailing Address - State:NJ
Mailing Address - Zip Code:07102-5511
Mailing Address - Country:US
Mailing Address - Phone:973-803-8130
Mailing Address - Fax:
Practice Address - Street 1:60 PARK PL
Practice Address - Street 2:#402
Practice Address - City:NEWARK
Practice Address - State:NJ
Practice Address - Zip Code:07102-5511
Practice Address - Country:US
Practice Address - Phone:973-803-8130
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-09-21
Last Update Date:2015-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ38MC00730200111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty