Provider Demographics
NPI:1457595803
Name:RIVER VALLEY ACUPUNCTURE & CHIROPRACTIC
Entity Type:Organization
Organization Name:RIVER VALLEY ACUPUNCTURE & CHIROPRACTIC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:CYNTHIA
Authorized Official - Middle Name:
Authorized Official - Last Name:FRANTZ
Authorized Official - Suffix:
Authorized Official - Credentials:DC, LAC
Authorized Official - Phone:860-526-9339
Mailing Address - Street 1:PO BOX 441
Mailing Address - Street 2:
Mailing Address - City:CHESTER
Mailing Address - State:CT
Mailing Address - Zip Code:06412-0441
Mailing Address - Country:US
Mailing Address - Phone:860-526-9339
Mailing Address - Fax:
Practice Address - Street 1:4 WATER ST
Practice Address - Street 2:
Practice Address - City:CHESTER
Practice Address - State:CT
Practice Address - Zip Code:06412-1238
Practice Address - Country:US
Practice Address - Phone:860-526-9339
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-04-29
Last Update Date:2009-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT848111N00000X
CT238171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty
No171100000XOther Service ProvidersAcupuncturistGroup - Multi-Specialty