Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Organization
LIFE CLINIC OF NJ DC PA
Active
Organization
LIFE CLINIC OF NJ DC PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. REZA POUR ALIZADEH DC (OWNER/DC)
(612) 868-6894
Entity
Organization
Contact information
Practice address
7 FORRESTAL ROAD S, PLAINSBOROUGH, NJ 08536
(612) 868-6894
Mailing address
PO BOX 549, CHANHASSEN, MN 55317-0549
(612) 868-6894
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
38MC00735800
NJ
Other
Enumeration date
04/20/2018
Last updated
04/20/2018
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up