Provider Demographics
NPI:1457401283
Name:RINGSDORF CHIROPRACTIC CENTER
Entity Type:Organization
Organization Name:RINGSDORF CHIROPRACTIC CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:WARREN
Authorized Official - Middle Name:MARSHALL
Authorized Official - Last Name:RINGSDORF
Authorized Official - Suffix:III
Authorized Official - Credentials:DC
Authorized Official - Phone:251-867-5274
Mailing Address - Street 1:1023 DOUGLAS AVE
Mailing Address - Street 2:SUITE 318
Mailing Address - City:BREWTON
Mailing Address - State:AL
Mailing Address - Zip Code:36426-1586
Mailing Address - Country:US
Mailing Address - Phone:251-867-5274
Mailing Address - Fax:251-867-7009
Practice Address - Street 1:1023 DOUGLAS AVE
Practice Address - Street 2:SUITE 318
Practice Address - City:BREWTON
Practice Address - State:AL
Practice Address - Zip Code:36426-1586
Practice Address - Country:US
Practice Address - Phone:251-867-5274
Practice Address - Fax:251-867-7009
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-12
Last Update Date:2008-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1569305R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes305R00000XManaged Care OrganizationsPreferred Provider Organization
Provider Identifiers
StateIdentifier IDID TypeIssuer
U58991Medicare UPIN