Provider Demographics
NPI:1821249392
Name:NEW HOPE CHIROPRACTIC, LLC
Entity Type:Organization
Organization Name:NEW HOPE CHIROPRACTIC, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:RODGER
Authorized Official - Middle Name:B
Authorized Official - Last Name:LINCOLN
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:401-433-3600
Mailing Address - Street 1:9 FORBES ST
Mailing Address - Street 2:
Mailing Address - City:RIVERSIDE
Mailing Address - State:RI
Mailing Address - Zip Code:02915-1601
Mailing Address - Country:US
Mailing Address - Phone:401-433-3600
Mailing Address - Fax:401-433-0235
Practice Address - Street 1:9 FORBES ST
Practice Address - Street 2:
Practice Address - City:RIVERSIDE
Practice Address - State:RI
Practice Address - Zip Code:02915-1601
Practice Address - Country:US
Practice Address - Phone:401-433-3600
Practice Address - Fax:401-433-0235
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-10-02
Last Update Date:2008-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RIDCP00569111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA1922290543Medicaid
IA70005OtherWELLMARK
IA70005OtherWELLMARK