Provider Demographics
NPI:1861115511
Name:CHIROPRACTIC SPINE CENTER OF FLEMINGTON
Entity type:Organization
Organization Name:CHIROPRACTIC SPINE CENTER OF FLEMINGTON
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:JESSE
Authorized Official - Middle Name:R
Authorized Official - Last Name:HANN
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:908-751-5706
Mailing Address - Street 1:35 STATE ROUTE 31
Mailing Address - Street 2:
Mailing Address - City:FLEMINGTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08822-1657
Mailing Address - Country:US
Mailing Address - Phone:908-751-5706
Mailing Address - Fax:
Practice Address - Street 1:35 STATE ROUTE 31
Practice Address - Street 2:
Practice Address - City:FLEMINGTON
Practice Address - State:NJ
Practice Address - Zip Code:08822-1657
Practice Address - Country:US
Practice Address - Phone:908-751-5706
Practice Address - Fax:908-751-5708
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-09-19
Last Update Date:2022-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty