RIVERSIDE FAMILY CHIROPRACTIC CLINIC CHARTERED (NPI# 1295748127) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295748127 |
| Entity Type | Organization |
| Organization Name | RIVERSIDE FAMILY CHIROPRACTIC CLINIC CHARTERED |
| Practice Address |
114 A Rum River Drive North Princeton MN 55371 |
| Practice Telephone | 7633899242 |
| Practice Fax Number | 7636310460 |
| Mailing Telephone | 7633899242 |
| Mailing Fax Number | 7636310460 |
| Enumeration Date | 2006-08-14 |
| Last Update Date | 2015-10-08 |
| Authorized Official Name | DR. TYLER PAUL ROEHL (OWNER / CHIROPRACTOR) |
| Authorized Official Telephone | 7633899242 |
| Authorized Official Credential | DC. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | MN 4816 | MN | Chiropractic Providers |
| Street Address |
114 A RUM RIVER DRIVE NORTH |
| City | PRINCETON |
| State | MN |
| Zip Code | 55371 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053962530 | Monica Gail Broten | Technician | 30840 Tiger Street Nw, Princeton, MN 55371 | 2019-09-25 |
| 1215349584 | Stephen Destefano | Pharmacist | 31419 131st Street, Princeton, MN 55371 | 2014-05-21 |
| 1164798948 | Andrew Sudbeck | Counselor | 101 18th Avenue North, Princeton, MN 55371 | 2012-03-27 |
| 1073804803 | Sterling Pointe Senior Living LLC | Assisted Living Facility | 1250 Northland Drive, Princeton, MN 55371 | 2011-04-27 |
| 1568752533 | Rum River Health Services, Inc. | Substance Abuse Rehabilitation Facility | 3079 90th Avenue, Princeton, MN 55371 | 2011-04-12 |
| 1780989038 | Dr. Kynan Westermeyer, Dds, Pllc | Clinic/Center | 404 1st St. N, Princeton, MN 55371 | 2011-01-18 |
| 1275788085 | Cody James Leff | Pharmacist | 1100 11th Avenue South, Princeton, MN 55371 | 2008-11-20 |
| 1164679213 | Rum River Health Services, Inc | Substance Abuse Rehabilitation Facility | 1101 N 5th St, Princeton, MN 55371 | 2008-08-20 |
| 1801059639 | Rum River Health Services, Inc | Substance Abuse Rehabilitation Facility | 1506 1st Street, Princeton, MN 55371 | 2008-07-02 |
| 1497940928 | James Michael Mandt | Pharmacist | 911 Northland Drive, Fairview Northland Medical Center, Princeton, MN 55371 | 2007-09-07 |
| Find all providers in zip 55371 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225373103 | Princeton Family Chiropractic | Chiropractor | 66 Mount Lucas Rd, Suite E2, Princeton, NJ 08540-2733 | 2012-12-04 |
| 1932488178 | Kelli Mann | Chiropractor | 902 Stafford Dr., Princeton, WV 24740 | 2011-08-05 |
| 1083929582 | Princeton Natural Health Care Associates | Chiropractor | 204 N Harrison St Fl 1, Princeton, NJ 08540-3507 | 2010-08-10 |
| 1871755694 | Lonnie L Edwards | Chiropractor | 1288n State Rd 65, Princeton, IN 47670-9515 | 2008-07-02 |
| 1346415312 | David Carl Maffei | Chiropractor | 3640 Lawrenceville Road, Princeton, NJ 08540 | 2008-04-29 |
| 1124203443 | Paul Family Chiropractic, PC | Chiropractor | 1 Airport Pl, Suite # 4, Princeton, NJ 08540-1532 | 2008-01-05 |
| 1740461490 | Back2health-princeton, LLC | Chiropractor | 107 N 1st Ave, Princeton, IN 47670-1061 | 2007-11-23 |
| 1851505010 | Lounsbury Chiropractic Office Inc | Chiropractor | 1307 Mercer St, Princeton, WV 24740 | 2007-05-09 |
| 1073733465 | Jarred Allen Farrell | Chiropractor | 682 East Peru Street, Princeton, IL 61356 | 2007-04-26 |
| 1871615278 | Joseph Marc Paul | Chiropractor | 1 Airport Pl Ste 4, Princeton, NJ 08540-1532 | 2007-04-04 |
| Find all providers in PRINCETON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.