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Organization
PELTON FAMILY CHIROPRACTIC CENTER, INC.
Active
Organization
PELTON FAMILY CHIROPRACTIC CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHRISTINE LYNN PELTON D.C. (VICE PRESIDENT)
(401) 782-8380
Entity
Organization
Contact information
Practice address
730 KINGSTOWN RD STE 3, WAKEFIELD, RI 02879-3002
(401) 782-8380
(401) 782-3650
Mailing address
730 KINGSTOWN RD STE 3, WAKEFIELD, RI 02879-3002
(401) 782-8380
(401) 782-3650
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC323
RI
111N00000X
Chiropractor
DC332
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000323
—
RI
05
—
000332
—
RI
01
—
44-00020
UHC -DR. CHRISTINE PELTON
RI
01
—
44-00023
UHC -DR. KEVIN PELTON
RI
01
—
9145-5
BLUE CROSS BLUE SHIELD RI
RI
Enumeration date
10/18/2006
Last updated
08/22/2020
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