Provider Demographics
NPI:1053417519
Name:RAMTOWN FAMILY CHIROPRACTIC LLC
Entity type:Organization
Organization Name:RAMTOWN FAMILY CHIROPRACTIC LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:DR
Authorized Official - First Name:LORI
Authorized Official - Middle Name:JAYNE
Authorized Official - Last Name:REIZER
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:732-458-1216
Mailing Address - Street 1:66 RAMTOWN GREENVILLE RD
Mailing Address - Street 2:
Mailing Address - City:HOWELL
Mailing Address - State:NJ
Mailing Address - Zip Code:07731-3830
Mailing Address - Country:US
Mailing Address - Phone:732-458-1216
Mailing Address - Fax:732-458-8953
Practice Address - Street 1:66 RAMTOWN GREENVILLE RD
Practice Address - Street 2:
Practice Address - City:HOWELL
Practice Address - State:NJ
Practice Address - Zip Code:07731-3830
Practice Address - Country:US
Practice Address - Phone:732-458-1216
Practice Address - Fax:732-458-8953
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-15
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ668990Medicare ID - Type UnspecifiedGROUP ID#