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General NPI Number Information
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NPI Number | 1821416306
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Entity Type | Organization
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Legal Business Name | MALCHAR CHIROPRACTIC CENTER, LTD.
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Dates
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Enumeration Date | 04/02/2014
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Last Update Date | 04/02/2014
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Provider Practice Location Address
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Address Line | 33 COLLEGE HILL RD SUITE 30C
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City | WARWICK
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State | RI
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Zip | 02886-2776
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Country | US
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Telephone | 401-826-7600
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Fax | 401-822-7879
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Provider Business Mailing Address
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Address Line | 33 COLLEGE HILL RD SUITE 30C
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City | WARWICK
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State | RI
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Zip | 02886-2776
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Country | US
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Telephone | 401-826-7600
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Fax | 401-822-7879
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Authorized Official
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Title or Position | OWNER
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Name | DR. VICTORIA MALCHAR
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Credential | D.C.
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Telephone | 401-826-7600
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | DC00269
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License Number State | RI
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