Organization
RISE CHIROPRACTIC INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHANE BECKER DC (OWNER)
(856) 733-0684
Entity
Organization
Contact information
Practice address
300 S LENOLA RD, MAPLE SHADE, NJ 08052
(856) 733-0684
Mailing address
1605 PENNSAUKEN ST, CINNAMINSON, NJ 08077-2620
(267) 443-0684
(267) 443-0684
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
38MC00750600
NJ
Other
Enumeration date
03/07/2018
Last updated
01/03/2019
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