Provider Demographics
NPI:1427541010
Name:RIVER VALLEY CHIROPRACTIC, PC
Entity Type:Organization
Organization Name:RIVER VALLEY CHIROPRACTIC, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SPENCER
Authorized Official - Middle Name:
Authorized Official - Last Name:BURLING
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:413-455-3625
Mailing Address - Street 1:1003 SAINT JAMES AVE UNIT 2
Mailing Address - Street 2:
Mailing Address - City:SPRINGFIELD
Mailing Address - State:MA
Mailing Address - Zip Code:01104-2145
Mailing Address - Country:US
Mailing Address - Phone:413-455-3625
Mailing Address - Fax:413-317-7488
Practice Address - Street 1:1003 SAINT JAMES AVE UNIT 2
Practice Address - Street 2:
Practice Address - City:SPRINGFIELD
Practice Address - State:MA
Practice Address - Zip Code:01104-2145
Practice Address - Country:US
Practice Address - Phone:413-455-3625
Practice Address - Fax:413-317-7488
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-06-08
Last Update Date:2018-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty