Provider Demographics
NPI:1376288498
Name:DOUBLE BRANCH CHIROPRACTIC & REHAB
Entity Type:Organization
Organization Name:DOUBLE BRANCH CHIROPRACTIC & REHAB
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR OF CHIROPRACTIC
Authorized Official - Prefix:DR
Authorized Official - First Name:CHASE
Authorized Official - Middle Name:JAMES
Authorized Official - Last Name:RIEVER
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:813-771-2323
Mailing Address - Street 1:33921 SR 54 STE 102
Mailing Address - Street 2:
Mailing Address - City:WESLEY CHAPEL
Mailing Address - State:FL
Mailing Address - Zip Code:33543-9101
Mailing Address - Country:US
Mailing Address - Phone:813-771-2323
Mailing Address - Fax:
Practice Address - Street 1:33921 SR 54 STE 102
Practice Address - Street 2:
Practice Address - City:WESLEY CHAPEL
Practice Address - State:FL
Practice Address - Zip Code:33543-9101
Practice Address - Country:US
Practice Address - Phone:813-771-2323
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-05-03
Last Update Date:2022-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty