Healthcare Provider Details

I. General information

NPI: 1538316807
Provider Name (Legal Business Name): FALL RIVER SPINE & DISC CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/19/2008
Last Update Date: 08/19/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

235 HANOVER ST. SUITE 303
FALL RIVER MA
02720-5299
US

IV. Provider business mailing address

235 HANOVER ST. SUITE 303
FALL RIVER MA
02720-5299
US

V. Phone/Fax

Practice location:
  • Phone: 508-676-7300
  • Fax: 508-676-7310
Mailing address:
  • Phone: 508-676-7300
  • Fax: 508-676-7310

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number2505
License Number StateMA

VIII. Authorized Official

Name: DR. RAJIV NEHRA
Title or Position: CHIROPRACTIC PHYSICIAN
Credential: D.C.
Phone: 508-676-7300