Provider Demographics
NPI:1447469481
Name:FIRST CHOICE CHIROPRACTIC OF ASBURY PARK, LLC
Entity type:Organization
Organization Name:FIRST CHOICE CHIROPRACTIC OF ASBURY PARK, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:MANUEL
Authorized Official - Middle Name:J
Authorized Official - Last Name:COMPAS
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:732-774-7506
Mailing Address - Street 1:908 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:ASBURY PARK
Mailing Address - State:NJ
Mailing Address - Zip Code:07712-5967
Mailing Address - Country:US
Mailing Address - Phone:732-774-7506
Mailing Address - Fax:732-774-5451
Practice Address - Street 1:908 MAIN ST
Practice Address - Street 2:SUITE A
Practice Address - City:ASBURY PARK
Practice Address - State:NJ
Practice Address - Zip Code:07712-5967
Practice Address - Country:US
Practice Address - Phone:732-774-7506
Practice Address - Fax:732-774-5451
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-22
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ38MC00656800111NR0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111NR0400XChiropractic ProvidersChiropractorRehabilitationGroup - Multi-Specialty