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O'MALLEY FAMILY CHIROPRACTIC NPI 1164558144


NPI Information

NPI: 1164558144
Provider Name: O'MALLEY FAMILY CHIROPRACTIC

Former Legal Business Name: CHIRO-SPA INC.

Classification: Chiropractor - 111N00000X
Entity Type: Organization

CLIA Number: 22D2075305

Address:
80 WORCESTER ST
SUITE# 2
NORTH GRAFTON, MA
ZIP 01536
Phone: (508) 839-0040
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O'MALLEY FAMILY CHIROPRACTIC is a chiropractor in North Grafton, 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. O'MALLEY FAMILY CHIROPRACTIC NPI is 1164558144. The provider is registered as an organization entity type and is a single specialty group.
The provider Former Legal Business Name Is Chiro-spa Inc..

The provider's business location address is:

80 WORCESTER ST
SUITE# 2
NORTH GRAFTON, MA
ZIP 01536-041
Phone: (508) 839-0040
Fax: (508) 839-0043

The provider's authorized official is Thomas P. O'malley .
The authorized official title is President and has the following contact phone number (508) 839-0040.

The CLIA number assigned to this NPI record is 22D2075305 - practitioner other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/26/2007 and was last updated on 8/22/2020.


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
1111N00000XChiropractorCH 159-CFMASSACHUSETTSYes

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
1699088OTHERMASSACHUSETTSTUFTS HEALTH PLAN GROUP#
2Y39567OTHERMASSACHUSETTSBCBS 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: 5/5/2024

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