Provider Demographics
NPI:1730852682
Name:PINNACLE CHIROPRACTIC
Entity type:Organization
Organization Name:PINNACLE CHIROPRACTIC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/CHIROPRACTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:JOSE
Authorized Official - Middle Name:A
Authorized Official - Last Name:RODRIGUEZ
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:973-326-0104
Mailing Address - Street 1:372 BROAD ST STE B
Mailing Address - Street 2:
Mailing Address - City:BLOOMFIELD
Mailing Address - State:NJ
Mailing Address - Zip Code:07003-2751
Mailing Address - Country:US
Mailing Address - Phone:973-326-0104
Mailing Address - Fax:973-798-6232
Practice Address - Street 1:372 BROAD ST STE B
Practice Address - Street 2:
Practice Address - City:BLOOMFIELD
Practice Address - State:NJ
Practice Address - Zip Code:07003-2751
Practice Address - Country:US
Practice Address - Phone:973-326-0104
Practice Address - Fax:973-798-6232
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-07-27
Last Update Date:2021-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty