Organization
RICHARD CARLSON LLC
Active
Other names
Optimal Health Chiropractic and Sport Injury
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICHARD THOMAS CARLSON JR. D.C. (CHIROPRACTOR)
(609) 442-1124
Entity
Organization
Contact information
Practice address
610 5TH AVE, EGG HARBOR CITY, NJ 08215-4038
(609) 442-1124
Mailing address
610 5TH AVE, EGG HARBOR CITY, NJ 08215-4038
(609) 442-1124
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
38MC00708500
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1861837353
NPI
NJ
Enumeration date
02/13/2014
Last updated
02/13/2014
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