Provider Demographics
NPI:1649469677
Name:CHIREIFCO ENTERPRISE INC.
Entity type:Organization
Organization Name:CHIREIFCO ENTERPRISE INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:SHAD
Authorized Official - Middle Name:RICHARD
Authorized Official - Last Name:REIF
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:972-429-4677
Mailing Address - Street 1:114 S JACKSON AVE
Mailing Address - Street 2:
Mailing Address - City:WYLIE
Mailing Address - State:TX
Mailing Address - Zip Code:75098-3923
Mailing Address - Country:US
Mailing Address - Phone:972-429-4677
Mailing Address - Fax:972-429-8229
Practice Address - Street 1:114 S JACKSON AVE
Practice Address - Street 2:
Practice Address - City:WYLIE
Practice Address - State:TX
Practice Address - Zip Code:75098-3923
Practice Address - Country:US
Practice Address - Phone:972-429-4677
Practice Address - Fax:972-429-8229
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-16
Last Update Date:2018-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX10581111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX00Y524Medicare PIN