Provider Demographics
NPI:1780557652
Name:RIDGELINE CHIROPRACTIC, LLC
Entity type:Organization
Organization Name:RIDGELINE CHIROPRACTIC, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIROPRACTOR
Authorized Official - Prefix:
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:
Authorized Official - Last Name:KANE
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:814-316-9198
Mailing Address - Street 1:275 MAIN ST STE 2
Mailing Address - Street 2:
Mailing Address - City:BROOKVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:15825-1287
Mailing Address - Country:US
Mailing Address - Phone:814-316-9198
Mailing Address - Fax:
Practice Address - Street 1:275 MAIN ST STE 2
Practice Address - Street 2:
Practice Address - City:BROOKVILLE
Practice Address - State:PA
Practice Address - Zip Code:15825-1287
Practice Address - Country:US
Practice Address - Phone:814-316-9198
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-09-26
Last Update Date:2025-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty