Provider Demographics
NPI:1316485642
Name:ALGIERE CHIROPRACTIC, INC
Entity type:Organization
Organization Name:ALGIERE CHIROPRACTIC, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:BENJAMIN
Authorized Official - Middle Name:J
Authorized Official - Last Name:ALGIERE
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:401-539-1171
Mailing Address - Street 1:1171 MAIN ST STE D
Mailing Address - Street 2:PO BOX 57
Mailing Address - City:WYOMING
Mailing Address - State:RI
Mailing Address - Zip Code:02898-1074
Mailing Address - Country:US
Mailing Address - Phone:401-539-1171
Mailing Address - Fax:
Practice Address - Street 1:1171 MAIN STREET
Practice Address - Street 2:SUITE D
Practice Address - City:WYOMING
Practice Address - State:RI
Practice Address - Zip Code:02898
Practice Address - Country:US
Practice Address - Phone:401-539-1171
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-02-07
Last Update Date:2017-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RIDCP00647305S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes305S00000XManaged Care OrganizationsPoint of Service