Individual
CASEY PARKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
555 SHREWSBURY AVE STE E, SHREWSBURY, NJ 07702-4165
(732) 757-3347
Mailing address
85 BELAIRE CT, MATAWAN, NJ 07747-1119
(732) 757-3347
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
38MC00789200
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
38MC00789200
LICENSE NUMBER
NJ
Enumeration date
01/24/2022
Last updated
05/22/2026
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