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 | | X007426 | MASSACHUSETTS | No |
| 2 | 111NN1001X | Chiropractor | Nutrition | CH-1808 | MASSACHUSETTS | No |
| 3 | 111NN1001X | Chiropractor | Nutrition | X007426 | NEW YORK | No |
| 4 | 273Y00000X | Rehabilitation Unit | | CH-1808 | MASSACHUSETTS | No |
| 5 | 276400000X | Rehabilitation, Substance Use Disorder Unit | | CH-1808 | MASSACHUSETTS | No |
| 6 | 302R00000X | Health Maintenance Organization | | CH-1808 | MASSACHUSETTS | No |
| 7 | 302R00000X | Health Maintenance Organization | | X007426 | NEW YORK | No |
| 8 | 305R00000X | Preferred Provider Organization | | CH-1808 | MASSACHUSETTS | No |
| 9 | 305S00000X | Point of Service | | X007426 | NEW YORK | No |
| 10 | 385H00000X | Respite Care | | CH-1808 | MASSACHUSETTS | No |
| 11 | 111N00000X | Chiropractor | | CH-1808 | MASSACHUSETTS | Yes |