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RIVER STREET SPINE CLINIC PC NPI 1982743431


NPI Information

NPI: 1982743431
Provider Name: RIVER STREET SPINE CLINIC PC
Classification: Chiropractor - 111N00000X
Entity Type: Organization
Address:
500 RIVER ST
MATTAPAN, MA
ZIP 02126
Phone: (617) 298-1776
Get Directions

RIVER STREET SPINE CLINIC PC is a chiropractor in Mattapan, MA. 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. RIVER STREET SPINE CLINIC PC NPI is 1982743431. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

500 RIVER ST
MATTAPAN, MA
ZIP 02126-211
Phone: (617) 298-1776
Fax: (617) 298-7366

The provider's authorized official is Ryan Mark Warnock .
The authorized official title is Owner And Ceo and has the following contact phone number (617) 298-1776.

The enumeration date for this NPI number is 2/5/2007 and was last updated on 8/22/2020.


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
1111N00000XChiropractor2765MASSACHUSETTSYes

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: 5/5/2024

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