Provider Demographics
NPI:1861175515
Name:PRIME RELIEF & WELLNESS
Entity type:Organization
Organization Name:PRIME RELIEF & WELLNESS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:RYAN
Authorized Official - Middle Name:
Authorized Official - Last Name:ALBERN
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:201-414-6642
Mailing Address - Street 1:17 SYLVAN ST STE 202
Mailing Address - Street 2:
Mailing Address - City:RUTHERFORD
Mailing Address - State:NJ
Mailing Address - Zip Code:07070-2069
Mailing Address - Country:US
Mailing Address - Phone:201-414-6642
Mailing Address - Fax:
Practice Address - Street 1:17 SYLVAN ST STE 202
Practice Address - Street 2:
Practice Address - City:RUTHERFORD
Practice Address - State:NJ
Practice Address - Zip Code:07070-2069
Practice Address - Country:US
Practice Address - Phone:201-414-6642
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-08-09
Last Update Date:2023-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty