Provider Demographics
NPI:1437571858
Name:OCEANSIDE CHIROPRACTIC OF RHODE ISLAND, INC
Entity Type:Organization
Organization Name:OCEANSIDE CHIROPRACTIC OF RHODE ISLAND, INC
Other - Org Name:OCEANSIDE CHIROPRACTIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:HEATHER
Authorized Official - Middle Name:
Authorized Official - Last Name:HUNSCHER
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:401-757-0408
Mailing Address - Street 1:105 FRANKLIN ST
Mailing Address - Street 2:UNIT 11
Mailing Address - City:WESTERLY
Mailing Address - State:RI
Mailing Address - Zip Code:02891-3179
Mailing Address - Country:US
Mailing Address - Phone:401-757-0408
Mailing Address - Fax:401-315-2777
Practice Address - Street 1:105 FRANKLIN ST
Practice Address - Street 2:UNIT 11
Practice Address - City:WESTERLY
Practice Address - State:RI
Practice Address - Zip Code:02891-3179
Practice Address - Country:US
Practice Address - Phone:401-757-0408
Practice Address - Fax:401-315-2777
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-01-21
Last Update Date:2021-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty