Provider Demographics
NPI:1750581773
Name:APPONAUG CHIROPRACTIC CENTER INCORPORATED
Entity type:Organization
Organization Name:APPONAUG CHIROPRACTIC CENTER INCORPORATED
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:CHRISTOPHER
Authorized Official - Middle Name:ANTHONY
Authorized Official - Last Name:CALIRI
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:401-738-9611
Mailing Address - Street 1:2525 POST RD
Mailing Address - Street 2:
Mailing Address - City:WARWICK
Mailing Address - State:RI
Mailing Address - Zip Code:02886-2214
Mailing Address - Country:US
Mailing Address - Phone:401-738-9611
Mailing Address - Fax:401-738-9656
Practice Address - Street 1:2525 POST RD
Practice Address - Street 2:
Practice Address - City:WARWICK
Practice Address - State:RI
Practice Address - Zip Code:02886-2214
Practice Address - Country:US
Practice Address - Phone:401-738-9611
Practice Address - Fax:401-738-9656
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-07-18
Last Update Date:2013-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RIRI379111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
RIU79278Medicare UPIN
RI709003189Medicare PIN