Provider Demographics
NPI:1598227118
Name:ROBERT JR CHIROPRACTIC CORPORATION
Entity Type:Organization
Organization Name:ROBERT JR CHIROPRACTIC CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:RICHARD
Authorized Official - Last Name:PIRRITANO
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:424-339-6692
Mailing Address - Street 1:601 N AVALON BLVD STE D
Mailing Address - Street 2:
Mailing Address - City:WILMINGTON
Mailing Address - State:CA
Mailing Address - Zip Code:90744-5871
Mailing Address - Country:US
Mailing Address - Phone:424-339-6692
Mailing Address - Fax:310-872-5502
Practice Address - Street 1:601 N AVALON BLVD STE D
Practice Address - Street 2:
Practice Address - City:WILMINGTON
Practice Address - State:CA
Practice Address - Zip Code:90744-5871
Practice Address - Country:US
Practice Address - Phone:424-339-6692
Practice Address - Fax:310-872-5502
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-04-02
Last Update Date:2023-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty