Provider Demographics
NPI:1538764329
Name:FAIRVIEW CHIROPRACTIC AND WELLNESS LLC
Entity type:Organization
Organization Name:FAIRVIEW CHIROPRACTIC AND WELLNESS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/OPERATOR
Authorized Official - Prefix:DR
Authorized Official - First Name:JESSICA
Authorized Official - Middle Name:E
Authorized Official - Last Name:SILIPIGNI
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:609-402-8978
Mailing Address - Street 1:708 ROUTE 50 STE B
Mailing Address - Street 2:
Mailing Address - City:MAYS LANDING
Mailing Address - State:NJ
Mailing Address - Zip Code:08330-2122
Mailing Address - Country:US
Mailing Address - Phone:609-459-5477
Mailing Address - Fax:609-459-5478
Practice Address - Street 1:708 ROUTE 50
Practice Address - Street 2:
Practice Address - City:MAYS LANDING
Practice Address - State:NJ
Practice Address - Zip Code:08330-2122
Practice Address - Country:US
Practice Address - Phone:609-459-5477
Practice Address - Fax:609-459-5478
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-12-01
Last Update Date:2023-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty