Organization
CHIROPRACTIC ASSOCIATES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GREGG ALLEN MEDEIROS D.C. (CO-FOUNDER)
(401) 461-1600
Entity
Organization
Contact information
Practice address
1196 ELMWOOD AVE, PROVIDENCE, RI 02907-3716
(401) 461-1600
(401) 461-3500
Mailing address
1196 ELMWOOD AVE, PROVIDENCE, RI 02907-3716
(401) 461-1600
(401) 461-3500
Taxonomy
Speciality
Code
Description
License number
State
111NI0013X
Independent Medical Examiner Chiropractor
Primary
DCP00545
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1568545580
NPI
RI
Enumeration date
10/26/2011
Last updated
10/26/2011
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