Fairway Chiropractic Clinic, Pc in Tewksbury - Chiropractor

Fairway Chiropractic Clinic, Pc - NPI 1386707776

Fairway Chiropractic Clinic, Pc is a Chiropractor in Tewksbury, Massachusetts. Fairway Chiropractic Clinic, Pc practices all healthcare services and medical treatments related to Chiropractor. The NPI Number for Fairway Chiropractic Clinic, Pc is 1386707776. The last update date is 2014-10-30.

Fairway Chiropractic Clinic, Pc's current location address is 1501 Main St, Tewksbury, Massachusetts. You can contact this provider via phone number 9788519055 and fax number 9788519033. The mailing address for Fairway Chiropractic Clinic, Pc is 1501 Main St, Tewksbury, Massachusetts. To know further, please read the information below!

Provider Profile Detail

Provider Organization Fairway Chiropractic Clinic, Pc
Address 1501 Main St, Tewksbury, Massachusetts
Phone Number 9788519055
Fax Number 9788519033
Sole Proprietor --
Credentials --

Authorized Official

Title or Position PRESIDENT
Authorized Official Name Maguire Douglas
Credentials DC
Telephone Number 9788519055

NPI Number Detail

NPI Number 1386707776
Provider Enumeration Date 2006-12-18
Last Updated Date 2014-10-30

Provider Mailing Address Detail

Address 1501 Main St
City Tewksbury
State Massachusetts (MA)
Post Code 18764725
Phone Number 9788519055
Fax Number 9788519033

Provider's Primary Taxonomy Detail

Speciality Chiropractor
Taxonomy 111N00000X
Licence No 97
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

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
689907 MA TUFTS HEALTH PLAN
Y39244 MA BCBS OF MA

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FAQs about Fairway Chiropractic Clinic, Pc

What is the unique 10-digit identification code issued to Fairway Chiropractic Clinic, Pc by the Centers for Medicare & Medicaid Services?

The Fairway Chiropractic Clinic, Pc has been assigned the NPI (National Provider Identifier) 1386707776 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Could you please share the complete physical address where Fairway Chiropractic Clinic, Pc is geographically located?

The Fairway Chiropractic Clinic, Pc is physically situated at the following location: 1501 Main St, Tewksbury, MA, 18764725.

What is Fairway Chiropractic Clinic, Pc's specialized field of practice, and what is the corresponding taxonomy classification code?

The Fairway Chiropractic Clinic, Pc's area of specialization is Chiropractor, and the corresponding taxonomy code that categorizes this field of practice is 111N00000X.

On what date did Fairway Chiropractic Clinic, Pc receive its 1386707776 assignment from the Centers for Medicare & Medicaid Services?

The Fairway Chiropractic Clinic, Pc was assigned its 1386707776 on 2006-12-18, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

As of what date were the details pertaining to Fairway Chiropractic Clinic, Pc last refreshed?

The information related to the Fairway Chiropractic Clinic, Pc, including its address, specialty, and other relevant details, was last updated on 2014-10-30.

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