Provider Demographics
NPI:1538306998
Name:RICE, ERIC JONATHAN (DC)
Entity Type:Individual
Prefix:DR
First Name:ERIC
Middle Name:JONATHAN
Last Name:RICE
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5289 203RD ST W
Mailing Address - Street 2:
Mailing Address - City:FARMINGTON
Mailing Address - State:MN
Mailing Address - Zip Code:55024-9366
Mailing Address - Country:US
Mailing Address - Phone:952-210-5249
Mailing Address - Fax:
Practice Address - Street 1:2930 146TH ST W STE 110
Practice Address - Street 2:
Practice Address - City:ROSEMOUNT
Practice Address - State:MN
Practice Address - Zip Code:55068-3750
Practice Address - Country:US
Practice Address - Phone:651-463-8222
Practice Address - Fax:651-463-8228
Is Sole Proprietor?:No
Enumeration Date:2009-01-07
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN5181111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor