Individual
DR. RODGER BERNARD LINCOLN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
9 FORBES ST, RIVERSIDE, RI 02915
(401) 433-3600
Mailing address
9 FORBES ST, RIVERSIDE, RI 02915
(401) 433-3600
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
006979
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
007060832
MEDICARE PTAN
RI
Enumeration date
06/28/2007
Last updated
07/20/2012
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