Jamal Thomas De Vita in Acton - Chiropractor
Jamal Thomas De Vita - NPI 1972557288
Jamal Thomas De Vita is a Chiropractor in Acton, Massachusetts. Jamal Thomas De Vita practices all healthcare services and medical treatments related to Chiropractor. The NPI Number for Jamal Thomas De Vita is 1972557288. The last update date is 2020-05-06.
Jamal Thomas De Vita's current location address is 179 Great Rd Ste 107, Acton, Massachusetts. You can contact this provider via phone number 9782639336 and fax number 9782644431. The mailing address for Jamal Thomas De Vita is 179 Great Rd Ste 107, Acton, Massachusetts. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jamal Thomas De Vita |
|---|---|
| Address | 179 Great Rd Ste 107, Acton, Massachusetts |
| Phone Number | 9782639336 |
| Fax Number | 9782644431 |
| Sole Proprietor | N |
| Credentials | D.C. |
NPI Number Detail
| NPI Number | 1972557288 |
|---|---|
| Provider Enumeration Date | 2006-05-20 |
| Last Updated Date | 2020-05-06 |
Provider Mailing Address Detail
| Address | 179 Great Rd Ste 107 |
|---|---|
| City | Acton |
| State | Massachusetts (MA) |
| Post Code | 17205740 |
| Phone Number | 9782639336 |
| Fax Number | 9782644431 |
Provider's Primary Taxonomy Detail
| Speciality | Chiropractor |
|---|---|
| Taxonomy | 111N00000X |
| Licence No | 3001 |
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Definition: A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its inte |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1603370 | MA | -- |
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What is the unique identifier code issued to Jamal Thomas De Vita by the Centers for Medicare & Medicaid Services?
The Jamal Thomas De Vita has been assigned the NPI (National Provider Identifier) 1972557288. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Jamal Thomas De Vita's facilities are situated?
The facilities of Jamal Thomas De Vita are physically located at the following address: 179 Great Rd Ste 107, Acton, MA, 17205740.
What is Jamal Thomas De Vita's area of expertise and its corresponding taxonomy classification?
The Jamal Thomas De Vita's field of specialization is Chiropractor, and it falls under the taxonomy code 111N00000X, which categorizes healthcare providers based on their areas of practice.
When did the Jamal Thomas De Vita receive its 1972557288?
The Jamal Thomas De Vita was issued its 1972557288 on 2006-05-20, which is the date when the organization was assigned this unique identifier.
As of what date were the Jamal Thomas De Vita's details last updated?
The information pertaining to the Jamal Thomas De Vita, including its address, specialty, and other details, was most recently updated on 2020-05-06.