Provider Demographics
NPI:1376580621
Name:SPRING RIDGE CHIROPRACTIC, LLC
Entity Type:Organization
Organization Name:SPRING RIDGE CHIROPRACTIC, LLC
Other - Org Name:SPRING RIDGE CHIROPRACTIC CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MEMBER, LLC
Authorized Official - Prefix:DR
Authorized Official - First Name:CHRISTOPHER
Authorized Official - Middle Name:S
Authorized Official - Last Name:HINCHMAN
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:301-620-8566
Mailing Address - Street 1:9093 RIDGEFIELD DR
Mailing Address - Street 2:STE 107
Mailing Address - City:FREDERICK
Mailing Address - State:MD
Mailing Address - Zip Code:21701-6710
Mailing Address - Country:US
Mailing Address - Phone:301-620-8566
Mailing Address - Fax:301-620-8568
Practice Address - Street 1:9093 RIDGEFIELD DR
Practice Address - Street 2:STE 107
Practice Address - City:FREDERICK
Practice Address - State:MD
Practice Address - Zip Code:21701-6710
Practice Address - Country:US
Practice Address - Phone:301-620-8566
Practice Address - Fax:301-620-8568
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-02
Last Update Date:2024-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDS-01857111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty