Healthcare Provider Details

I. General information

NPI: 1508024522
Provider Name (Legal Business Name): F I X'D HEALTH CARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/27/2008
Last Update Date: 05/27/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

49 BEACH ST # 10
WESTERLY RI
02891-2739
US

IV. Provider business mailing address

49 BEACH ST # 10
WESTERLY RI
02891-2739
US

V. Phone/Fax

Practice location:
  • Phone: 401-596-3493
  • Fax: 860-245-5571
Mailing address:
  • Phone: 401-596-3493
  • Fax: 860-245-5571

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111NN1001X
TaxonomyNutrition Chiropractor
License NumberDCP00571
License Number StateRI

VIII. Authorized Official

Name: THOMAS KOLLARS
Title or Position: OWNER
Credential: D.C.
Phone: 401-596-3493