Whalio Doctors

NPI 1639495278

Lighthouse Chiropractic, PC

Organisation Physical Medicine & Rehabilitation Physician Providence, RI

Practice location

Address
717 Allens Ave, Providence, RI 02905-5412
Phone
(401) 751-6568
Mailing address
PO Box 9117, Warwick, RI 02889-0117

Authorised official

Name
Ronald Tyszkowski
Title
President
Phone
(401) 490-0494

Registered specialties (3)

Physical Medicine & Rehabilitation Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 208100000X Licence MD14078 (RI)
Chiropractor
Chiropractic Providers Taxonomy 111N00000X Licence 346 (RI)
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Allopathic & Osteopathic Physicians Taxonomy 2081P2900X Licence MD14078 (RI)

Registry record

NPI
1639495278
Entity type
Organization
NPI issued
7 Apr 2010
Record last updated
14 Nov 2012

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.