PROVIDENCE CHIROPRACTIC CLINIC INC NPI 1043376684

NPI Information

  • NPI: 1043376684
  • Provider Name: PROVIDENCE CHIROPRACTIC CLINIC INC
  • Classification: Chiropractor - 111N00000X
  • Entity Type: Organization
  • CLIA Number: 41D1004372
  • Address: 1637 MINERAL SPRING AVENUE SUITE 201
    NORTH PROVIDENCE, RI
    ZIP 02904
  • Phone: (401) 354-5120

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NPI Details

PROVIDENCE CHIROPRACTIC CLINIC INC is a chiropractor in North Providence, RI. The provider is a provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. PROVIDENCE CHIROPRACTIC CLINIC INC NPI is 1043376684. The provider is registered as an organization entity type.

The provider's business location address is:

1637 MINERAL SPRING AVENUE SUITE 201
NORTH PROVIDENCE, RI
ZIP 02904
Phone: (401) 354-5120
Fax: (401) 354-5122

The provider's authorized official is Michael Anthony Lancellotti .
The authorized official title is Doctor Of Chiropractic and has the following contact phone number (401) 354-5120.

The CLIA number assigned to this NPI record is 41D1004372 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/28/2006 and was last updated on 12/4/2024.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1111N00000XChiropractorYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1720028401OTHERCIGNA
20000003521OTHERRHODE ISLANDBC BS RI
3400742OTHERRHODE ISLANDBLUE CHIP
44400421OTHERUNITED

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: 11/21/2025

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