Provider Demographics
NPI:1851726954
Name:RIVERVIEW CHIROPRACTIC, INC.
Entity Type:Organization
Organization Name:RIVERVIEW CHIROPRACTIC, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FOUNDER/INCORPORATOR
Authorized Official - Prefix:DR
Authorized Official - First Name:ANDREW
Authorized Official - Middle Name:J
Authorized Official - Last Name:MILLER
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:712-540-9058
Mailing Address - Street 1:111 STATE ST
Mailing Address - Street 2:
Mailing Address - City:BELLEVUE
Mailing Address - State:IA
Mailing Address - Zip Code:52031-1307
Mailing Address - Country:US
Mailing Address - Phone:563-872-5550
Mailing Address - Fax:563-872-5630
Practice Address - Street 1:111 STATE ST
Practice Address - Street 2:
Practice Address - City:BELLEVUE
Practice Address - State:IA
Practice Address - Zip Code:52031-1307
Practice Address - Country:US
Practice Address - Phone:563-872-5550
Practice Address - Fax:563-872-5630
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-09-08
Last Update Date:2013-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA007595111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty