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CHARLES STREET FAMILY CHIROPRACTIC INC NPI 1770505273


NPI Information

NPI: 1770505273
Provider Name: CHARLES STREET FAMILY CHIROPRACTIC, INC

Other Name: CHARLES STREET FAMILY CHIROPRACTIC & PHYSICAL THERAPY

Classification: Chiropractor - 111N00000X
Entity Type: Organization
Address:
102 CHARLES ST
BOSTON, MA
ZIP 02114
Phone: (617) 720-1992
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CHARLES STREET FAMILY CHIROPRACTIC, INC is a chiropractor in Boston, MA. The provider is 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 interrelationship with other body systems. CHARLES STREET FAMILY CHIROPRACTIC, INC NPI is 1770505273. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Other Name Is Charles Street Family Chiropractic & Physical Therapy.

The provider's business location address is:

102 CHARLES ST
BOSTON, MA
ZIP 02114-607
Phone: (617) 720-1992
Fax: (617) 248-9916

The provider's authorized official is Tiana Celesia .
The authorized official title is Office Manager and has the following contact phone number (617) 720-1992.

The enumeration date for this NPI number is 7/24/2006 and was last updated on 11/8/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1174400000XSpecialistNo
2111N00000XChiropractor222MASSACHUSETTSYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1Y39316OTHERMASSACHUSETTSBCBS GROUP NUMBER
2641432OTHERTUFTS GROUP NUMBER
34258513OTHERAETNA
45190774OTHERCIGNA GROUP NUMBER

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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