Provider Demographics
NPI:1699002691
Name:RIFLE CHIROPRACTIC & WELLNESS CENTER
Entity type:Organization
Organization Name:RIFLE CHIROPRACTIC & WELLNESS CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIROPRACTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:EMILIE
Authorized Official - Middle Name:NELL
Authorized Official - Last Name:ZEPERNICK
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:970-625-4940
Mailing Address - Street 1:PO BOX 1463
Mailing Address - Street 2:
Mailing Address - City:RIFLE
Mailing Address - State:CO
Mailing Address - Zip Code:81650-1463
Mailing Address - Country:US
Mailing Address - Phone:970-625-4940
Mailing Address - Fax:
Practice Address - Street 1:234 RAILROAD AVE
Practice Address - Street 2:
Practice Address - City:RIFLE
Practice Address - State:CO
Practice Address - Zip Code:81650-2218
Practice Address - Country:US
Practice Address - Phone:970-625-4940
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-11-11
Last Update Date:2015-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO5095111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty