Provider Demographics
NPI:1770735094
Name:RICHER CHIROPRACTIC CLINIC
Entity type:Organization
Organization Name:RICHER CHIROPRACTIC CLINIC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JEAN-CHARLES
Authorized Official - Middle Name:
Authorized Official - Last Name:RICHER
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:480-941-5252
Mailing Address - Street 1:7120 E OAK ST
Mailing Address - Street 2:
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85257-2111
Mailing Address - Country:US
Mailing Address - Phone:480-941-5252
Mailing Address - Fax:
Practice Address - Street 1:7120 E OAK ST
Practice Address - Street 2:
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85257-2111
Practice Address - Country:US
Practice Address - Phone:480-941-5252
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-10-17
Last Update Date:2008-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ07417070H111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZZDC4765Medicare PIN