Organization
IKEDA FAMILY CHIROPRACTIC INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID W IKEDA D.C. (CHIROPRACTOR)
(609) 298-7700
Entity
Organization
Contact information
Practice address
23659 COLUMBUS RD, SUITE 2A, COLUMBUS, NJ 08022-1980
(609) 298-7700
(609) 298-7724
Mailing address
23659 COLUMBIA ROAD, SUITE 2A, COLUMBUS, NJ 08022-1979
(609) 298-7700
(609) 298-7724
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
38MC00530400
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2269303000
HORIZON BLUE CROSS
NJ
Enumeration date
12/12/2007
Last updated
12/12/2007
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