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RIVERSIDE CHIROPRACTIC WELLNESS CENTERS INC NPI 1023372067


NPI Information

NPI: 1023372067
Provider Name: RIVERSIDE CHIROPRACTIC WELLNESS CENTERS, INC

Doing Business As: RIVERSIDE CHIROPRACTIC CENTER

Classification: Clinic/Center - 261Q00000X
Entity Type: Organization
Address:
65 RIVERSIDE AVE STE C
MEDFORD, MA
ZIP 02155
Phone: (781) 395-0003
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RIVERSIDE CHIROPRACTIC WELLNESS CENTERS, INC is a clinic center in Medford, MA. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). RIVERSIDE CHIROPRACTIC WELLNESS CENTERS, INC NPI is 1023372067. The provider is registered as an organization entity type.
The provider Is Doing Business As Riverside Chiropractic Center.

The provider's business location address is:

65 RIVERSIDE AVE STE C
MEDFORD, MA
ZIP 02155-653
Phone: (781) 395-0003
Fax: (781) 395-2223

The provider's authorized official is Reza Pourshadi .
The authorized official title is President and has the following contact phone number (781) 395-0003.

The enumeration date for this NPI number is 6/25/2012 and was last updated on 6/25/2012.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261Q00000XClinic/Center2413MASSACHUSETTSYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1POY45476MEDICARE UPINMASSACHUSETTS
21697218MEDICAIDMASSACHUSETTS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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