Organization
PRIME SPINE CHIROPRACTIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JONATHAN M SEGRETI DC (OWNER)
(732) 598-9905
Entity
Organization
Contact information
Practice address
202 MOUNTS CORNER DR, FREEHOLD, NJ 07728-2547
(732) 908-2128
(732) 652-9861
Mailing address
PO BOX 285, TENNENT, NJ 07763-0285
(732) 598-9905
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Enumeration date
02/21/2020
Last updated
03/02/2020
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