KRISTIAN F. MCCOY NPI 1104009810

NPI Information

NPI: 1104009810
Provider Name: KRISTIAN F. MCCOY

Doing Business As: FLAX POND CHIROPRACTIC CARE

Classification: Chiropractor - 111N00000X
Entity Type: Organization
Address:
9 BOSTON ST
LYNN, MA
ZIP 01904
Phone: (781) 592-8089
Get Directions

KRISTIAN F. MCCOY is a chiropractor in Lynn, 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. KRISTIAN F. MCCOY NPI is 1104009810. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Flax Pond Chiropractic Care.

The provider's business location address is:

9 BOSTON ST
LYNN, MA
ZIP 01904-536
Phone: (781) 592-8089
Fax: (781) 592-8091

The provider's authorized official is Kristian Frederick Mccoy .
The authorized official title is Chiropractor and has the following contact phone number (781) 592-8089.

The enumeration date for this NPI number is 12/17/2007 and was last updated on 12/17/2007.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	111N00000X	Chiropractor		CH1982	MASSACHUSETTS	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1606824	MEDICAID	MASSACHUSETTS
2	MCY45360	MEDICARE PIN	MASSACHUSETTS
3	Y36415	OTHER	MASSACHUSETTS	BLUE CROSS / BLUE SHIELD
4	AA28215	OTHER	MASSACHUSETTS	HARVARD PILGRIM
5	198200	OTHER	MASSACHUSETTS	TUFTS HEALTH PLANS

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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