Healthcare Provider Details

I. General information

NPI: 1831378942
Provider Name (Legal Business Name): SCITUATE CHIROPRACTIC CENTER INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/25/2007
Last Update Date: 10/18/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6 VILLAGE PLAZA WAY
N SCITUATE RI
02857-1849
US

IV. Provider business mailing address

6 VILLAGE PLAZA WAY
N SCITUATE RI
02857-1849
US

V. Phone/Fax

Practice location:
  • Phone: 401-934-0077
  • Fax: 401-934-2960
Mailing address:
  • Phone: 401-934-0077
  • Fax: 401-934-2960

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number
License Number State

VIII. Authorized Official

Name: DR. JEFFREY D REED
Title or Position: PRESIDENT
Credential: DC
Phone: 401-934-0077