Organization
JOHN D. KRISCIUNAS JR. D.C., P.C.
Active
Other names
Performance Chiropractic and Rehab Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN DANIEL KRISCIUNAS JR. D.C. (PRESIDENT)
(856) 401-9550
Entity
Organization
Contact information
Practice address
860 ROUTE 168, SUITE 104, TURNERSVILLE, NJ 08012-3215
(856) 401-9550
(856) 401-9551
Mailing address
860 ROUTE 168, SUITE 104, TURNERSVILLE, NJ 08012-3215
(856) 401-9550
(856) 401-9551
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
38MC00486700
NJ
111NS0005X
Sports Physician Chiropractor
38MC00486700
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000150906
PA BCBS PROVIDER ID
PA
01
—
0172698000
AMERIHEALTH HMO ID
NJ
01
—
0939277
AETNA PROVIDER ID
NJ
01
—
5002456
AETNA PROVIDER ID
NJ
Enumeration date
12/14/2006
Last updated
02/27/2011
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