Provider Demographics
NPI:1326110974
Name:INNERLIGHT INC
Entity Type:Organization
Organization Name:INNERLIGHT INC
Other - Org Name:RIVER RIDGE CHIROPRACTIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER CHIROPRACTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:BART
Authorized Official - Middle Name:W
Authorized Official - Last Name:HODGINS
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:828-298-5435
Mailing Address - Street 1:802 FAIRVIEW RD
Mailing Address - Street 2:SUITE 1200
Mailing Address - City:ASHEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28803
Mailing Address - Country:US
Mailing Address - Phone:828-298-5435
Mailing Address - Fax:828-298-5822
Practice Address - Street 1:802 FAIRVIEW RD
Practice Address - Street 2:SUITE 1200
Practice Address - City:ASHEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28803
Practice Address - Country:US
Practice Address - Phone:828-298-5435
Practice Address - Fax:828-298-5822
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-15
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty