Provider Demographics
NPI:1790163707
Name:CIBELLE CHIROPRACTIC OF GEORGETOWN, P.C.
Entity Type:Organization
Organization Name:CIBELLE CHIROPRACTIC OF GEORGETOWN, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/CHIROPRACTIC DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:JASMINE
Authorized Official - Middle Name:
Authorized Official - Last Name:RITCHIE
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:678-521-1995
Mailing Address - Street 1:2440 M ST NW
Mailing Address - Street 2:807
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20037-1404
Mailing Address - Country:US
Mailing Address - Phone:202-887-5375
Mailing Address - Fax:202-887-1833
Practice Address - Street 1:2440 M ST NW
Practice Address - Street 2:807
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20037-1404
Practice Address - Country:US
Practice Address - Phone:202-887-5375
Practice Address - Fax:202-887-1833
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-05-11
Last Update Date:2015-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty
No111NN1001XChiropractic ProvidersChiropractorNutritionGroup - Multi-Specialty