River Street Spine Clinic Pc in Mattapan - Chiropractor
River Street Spine Clinic Pc - NPI 1982743431
River Street Spine Clinic Pc is a Chiropractor in Mattapan, Massachusetts. River Street Spine Clinic Pc practices all healthcare services and medical treatments related to Chiropractor. The NPI Number for River Street Spine Clinic Pc is 1982743431. The last update date is 2020-08-22.
River Street Spine Clinic Pc's current location address is 500 River St, Mattapan, Massachusetts. You can contact this provider via phone number 6172981776 and fax number 6172987366. The mailing address for River Street Spine Clinic Pc is 500 River St, Mattapan, Massachusetts. To know further, please read the information below!
Provider Profile Detail
Provider Organization | River Street Spine Clinic Pc |
---|---|
Address | 500 River St, Mattapan, Massachusetts |
Phone Number | 6172981776 |
Fax Number | 6172987366 |
Sole Proprietor | -- |
Credentials | -- |
Authorized Official
Title or Position | OWNER AND |
---|---|
Authorized Official Name | Warnock Mark Ryan |
Credentials | D.C. |
Telephone Number | 6172981776 |
NPI Number Detail
NPI Number | 1982743431 |
---|---|
Provider Enumeration Date | 2007-02-05 |
Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
Address | 500 River St |
---|---|
City | Mattapan |
State | Massachusetts (MA) |
Post Code | 21262211 |
Phone Number | 6172981776 |
Fax Number | 6172987366 |
Provider's Primary Taxonomy Detail
Speciality | Chiropractor |
---|---|
Taxonomy | 111N00000X |
Licence No | 2765 |
Definition: 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 inte |
Post Comment/ Review Below
What is the River Street Spine Clinic Pc's 1982743431?
The River Street Spine Clinic Pc's NPI (National Provider Identifier) Number is 1982743431. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where River Street Spine Clinic Pc's facilities are geographically located?
The facilities of River Street Spine Clinic Pc are physically situated at the following location: 500 River St, Mattapan, MA, 21262211.
What is River Street Spine Clinic Pc's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for River Street Spine Clinic Pc is Chiropractor, and the taxonomy code that classifies this field of practice is 111N00000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1982743431 to River Street Spine Clinic Pc?
The Centers for Medicare & Medicaid Services assigned the 1982743431 to River Street Spine Clinic Pc on 2007-02-05.
As of what date were the River Street Spine Clinic Pc's details last updated?
The information pertaining to the River Street Spine Clinic Pc, including its address, specialty, and other details, was most recently updated on 2020-08-22.