Provider Demographics
NPI:1851993620
Name:RIVER CITY CHIROPRACTIC AND INJURY
Entity Type:Organization
Organization Name:RIVER CITY CHIROPRACTIC AND INJURY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIROPRACTOR/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:SETH
Authorized Official - Middle Name:JAMES
Authorized Official - Last Name:BOWDEN
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:386-320-0058
Mailing Address - Street 1:155 S CHARLES RICHARD BEALL BLVD STE B
Mailing Address - Street 2:
Mailing Address - City:DEBARY
Mailing Address - State:FL
Mailing Address - Zip Code:32713-3268
Mailing Address - Country:US
Mailing Address - Phone:386-320-0058
Mailing Address - Fax:386-516-6921
Practice Address - Street 1:155 S CHARLES RICHARD BEALL BLVD STE B
Practice Address - Street 2:
Practice Address - City:DEBARY
Practice Address - State:FL
Practice Address - Zip Code:32713-3268
Practice Address - Country:US
Practice Address - Phone:386-320-0058
Practice Address - Fax:386-516-6921
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-11-16
Last Update Date:2020-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty