Provider Demographics
NPI:1033561345
Name:ALGIERE, BENJAMIN J (DC)
Entity Type:Individual
Prefix:
First Name:BENJAMIN
Middle Name:J
Last Name:ALGIERE
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1171 MAIN ST
Mailing Address - Street 2:SUITE D
Mailing Address - City:WYOMING
Mailing Address - State:RI
Mailing Address - Zip Code:02898-1074
Mailing Address - Country:US
Mailing Address - Phone:401-539-1171
Mailing Address - Fax:401-539-4010
Practice Address - Street 1:259 POST RD
Practice Address - Street 2:
Practice Address - City:WESTERLY
Practice Address - State:RI
Practice Address - Zip Code:02891-2601
Practice Address - Country:US
Practice Address - Phone:401-322-8822
Practice Address - Fax:401-322-9191
Is Sole Proprietor?:Yes
Enumeration Date:2016-07-11
Last Update Date:2017-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RIDCP00647111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor