Provider Demographics
NPI:1447659115
Name:TOTAL HEALTH CHIROPRACTIC AND WELLNESS
Entity type:Organization
Organization Name:TOTAL HEALTH CHIROPRACTIC AND WELLNESS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:SARAH
Authorized Official - Middle Name:MEANOR
Authorized Official - Last Name:MEANOR
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:609-482-3794
Mailing Address - Street 1:2 PRINCESS RD
Mailing Address - Street 2:SUITE 2A
Mailing Address - City:LAWRENCEVILLE
Mailing Address - State:NJ
Mailing Address - Zip Code:08648
Mailing Address - Country:US
Mailing Address - Phone:609-482-3794
Mailing Address - Fax:609-482-4742
Practice Address - Street 1:2 PRINCESS RD
Practice Address - Street 2:SUITE 2A
Practice Address - City:LAWRENCEVILLE
Practice Address - State:NJ
Practice Address - Zip Code:08648
Practice Address - Country:US
Practice Address - Phone:856-266-4878
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:TOTAL HEALTH CHIROPRACTIC AND WELLNESS
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2014-08-19
Last Update Date:2014-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ38MC00680000111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty