Healthcare Provider Details
I. General information
NPI: 1821249392
Provider Name (Legal Business Name): NEW HOPE CHIROPRACTIC, LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 10/02/2008
Last Update Date: 03/27/2025
Certification Date: 03/27/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2728 PAWTUCKET AVE
EAST PROVIDENCE RI
02914-3358
US
IV. Provider business mailing address
2728 PAWTUCKET AVE
EAST PROVIDENCE RI
02914-3358
US
V. Phone/Fax
- Phone: 401-433-3600
- Fax: 401-433-0235
- Phone: 401-433-3600
- Fax: 401-433-0235
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 111N00000X |
| Taxonomy | Chiropractor |
| License Number | |
| License Number State | NULL |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 111NR0400X |
| Taxonomy | Rehabilitation Chiropractor |
| License Number | |
| License Number State | NULL |
VIII. Authorized Official
Name: DR.
RODGER
B
LINCOLN
Title or Position: OWNER
Credential: D.C.
Phone: 401-433-3600