Provider Demographics
NPI:1144876053
Name:GARCIA, RICHARD WILLIAM RAMSAY (DC)
Entity type:Individual
Prefix:DR
First Name:RICHARD
Middle Name:WILLIAM RAMSAY
Last Name:GARCIA
Suffix:
Gender:M
Credentials:DC
Other - Prefix:MR
Other - First Name:RICHARD
Other - Middle Name:WILLIAM
Other - Last Name:GARCIA
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:8430 RIVERVIEW LN
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN PARK
Mailing Address - State:MN
Mailing Address - Zip Code:55444-1426
Mailing Address - Country:US
Mailing Address - Phone:719-310-5790
Mailing Address - Fax:
Practice Address - Street 1:7400 UNIVERSITY AVE NE STE 100
Practice Address - Street 2:
Practice Address - City:FRIDLEY
Practice Address - State:MN
Practice Address - Zip Code:55432-2223
Practice Address - Country:US
Practice Address - Phone:763-571-0239
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-08-15
Last Update Date:2020-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN6645111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor