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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 Specialty Code Provider Type

Chiropractor

111N00000X 35 Chiropractic
Indicates primary specialty

NPI Profile & details for RIVERSIDE FAMILY CHIROPRACTIC CLINIC CHARTERED

NPI Number 1295748127
LBN Legal business name RIVERSIDE FAMILY CHIROPRACTIC CLINIC CHARTERED
Authorized official TYLER ROEHL - (OWNER / CHIROPRACTOR)
Entity Organization
Organization subpart 1 No
Enumeration date 08/14/2006
Last updated 10/08/2015 - About 11 years ago
Identifiers
MN License # MN 4816
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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