National Provider Identifier Database

RIVERSIDE FAMILY CHIROPRACTIC CLINIC CHARTERED
Chiropractor

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.


Contact Information

RIVERSIDE FAMILY CHIROPRACTIC CLINIC CHARTERED
114 A RUM RIVER DRIVE NORTH
PRINCETON, MN55371
Phone: 763-389-9242
Fax: 763-631-0460
Website:
Specialty Taxonomy Code
* Chiropractor 111N00000X

* Indicates primary specialty

NPI Profile & details for RIVERSIDE FAMILY CHIROPRACTIC CLINIC CHARTERED

NPI Number 1295748127
Legal business name
LBN
RIVERSIDE FAMILY CHIROPRACTIC CLINIC CHARTERED
Authorized official TYLER ROEHL - (OWNER / CHIROPRACTOR)
Entity Organization
Organization subpart No
Enumeration date 08/14/2006
Last updated 10/08/2015 - About 11 years ago
Sole proprietor1 Not specified
Identifiers
  • MN License #: MN 4816

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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