Provider Demographics
NPI:1649901059
Name:CAPITAL DISTRICT FAMILY CHIROPRACTIC, PLLC.
Entity type:Organization
Organization Name:CAPITAL DISTRICT FAMILY CHIROPRACTIC, PLLC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:RHIANNON
Authorized Official - Middle Name:
Authorized Official - Last Name:CLAUSS
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:404-210-8717
Mailing Address - Street 1:59 COPPERFIELD DR
Mailing Address - Street 2:
Mailing Address - City:WATERFORD
Mailing Address - State:NY
Mailing Address - Zip Code:12188-1095
Mailing Address - Country:US
Mailing Address - Phone:404-210-8717
Mailing Address - Fax:518-599-0256
Practice Address - Street 1:40 COLVIN AVE STE 100
Practice Address - Street 2:
Practice Address - City:ALBANY
Practice Address - State:NY
Practice Address - Zip Code:12206-1104
Practice Address - Country:US
Practice Address - Phone:518-599-0067
Practice Address - Fax:518-599-0256
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-06-17
Last Update Date:2022-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty