John Conley, D.C.
Individual provider Active NPI Chiropractor · Rumford, RI
NPI 1407917628 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1407917628
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Chiropractor 111N00000X
- License
- 328 (RI)
- Practice address
- 298 Newport Ave
Rumford, RI 02916-2146 - Phone
- (401) 258-8676
- NPI assigned
- Dec 12, 2006
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 328 | RI | MD | Chiropractor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 328 | RI | Yes |
Addresses
Primary practice location
298 Newport Ave
Rumford, RI 02916-2146
Mailing address
PO Box 4709
Rumford, RI 02916-0709
Phone (401) 258-8676
Other providers in Rumford, RI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.