Organization
950 CROSS, LLC
Active
Other names
C. M. Chiropractic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL W BIRDSALL D.C. (PRESIDENT)
(856) 772-6300
Entity
Organization
Contact information
Practice address
1 BRITTON PLACE, SUITE 10, VOORHEES, NJ 08043-2514
(856) 772-6300
(856) 772-4931
Mailing address
1 BRITTON PLACE, SUITE 10, VOORHEES, NJ 08043-2514
(856) 772-6300
(856) 772-4931
Taxonomy
Speciality
Code
Description
License number
State
111NS0005X
Sports Physician Chiropractor
Primary
38MC00635900
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2785881000
AMERIHEALTH IBC
NJ
Enumeration date
06/21/2006
Last updated
03/31/2008
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