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NPI Code Detail

MEDICARE: CHIROPRACTIC ASSOCIATES, LLC

MEDICARE: CHIROPRACTIC ASSOCIATES, LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1111NI0013XIndependent Medical Examiner ChiropractorDCP00545RI

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
11568545580OTHERRINPI

General Provider Information

NPI Number : 1871879528
Entity Type Code : Organization
Provider Name (Legal Business Name) : CHIROPRACTIC ASSOCIATES, LLC
Provider Business Mailing Address
First Line : 1196 ELMWOOD AVE
Second Line :
City : PROVIDENCE
State : RI
Zip : 02907-3716
Country : US
Telephone Number : 401-461-1600
Fax Number : 401-461-3500
Provider Business Practice Location Address
First Line : 1196 ELMWOOD AVE
Second Line :
City : PROVIDENCE
State : RI
Zip : 02907-3716
Country : US
Telephone Number : 401-461-1600
Fax Number : 401-461-3500
Authorized Official
Title or Position : CO-FOUNDER
Name : DR. GREGG ALLEN MEDEIROS
Credential : D.C.
Telephone Number : 401-461-1600
Provider Enumeration Date : 10/26/2011
Last Update Date : 10/26/2011

Similar Medicare Providers

1568545580 — DR. GREGG ALLEN MEDEIROS D.C.
Practice Location Address:
1196 ELMWOOD AVE
PROVIDENCE, RI
02907-3716
Practice Phone: 401-461-1600
Practice Fax: 401-461-3500
1811027592 — DR. LEONARDO JOSEPH MARINO D.C.
Practice Location Address:
1196 ELMWOOD AVE
PROVIDENCE, RI
02907-3716
Practice Phone: 401-461-1600
Practice Fax: 401-461-3500
1306692934 — ALEXA NICOLE TAVARES DC
Practice Location Address:
1196 ELMWOOD AVE
PROVIDENCE, RI
02907-3716
Practice Phone: 401-461-1600
Practice Fax:
1871710103 — MAUREEN G EGAN LICSW
Practice Location Address:
101 FRIENDSHIP ST
PROVIDENCE, RI
02903-3716
Practice Phone: 401-528-3763
Practice Fax: 401-528-3870
1215353230 — MRS. DORN M DOUGAN LICSW
Practice Location Address:
101 FRIENDSHIP ST
PROVIDENCE, RI
02903-3716
Practice Phone: 401-528-3820
Practice Fax:
1962970947 — MR. WESLEY IRISH FNP
Practice Location Address:
21 PEKIN ST
PROVIDENCE, RI
02908-3716
Practice Phone: 401-527-0615
Practice Fax:

Directions to “CHIROPRACTIC ASSOCIATES, LLC ” Practice Location

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