DR. SUSAN FRANCES WALETKUS DC NPI 1508915976

NPI Information

NPI: 1508915976
Provider Name: DR. SUSAN FRANCES WALETKUS, DC
Classification: Chiropractor - 111N00000X
Entity Type: Individual
Address:
283 MAIN ST
KINGSTON, MA
ZIP 02364
Phone: (781) 585-0585
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DR. Susan Frances Waletkus, DC is a chiropractor in Kingston, MA with 29 years of experience. 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. DR. Susan Frances Waletkus, DC NPI is 1508915976. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

283 MAIN ST
KINGSTON, MA
ZIP 02364-910
Phone: (781) 585-0585
Fax: (781) 585-0586

The enumeration date for this NPI number is 1/8/2007 and was last updated on 7/9/2007.

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		1946	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	U58872	MEDICARE UPIN	MASSACHUSETTS
2	Y25028	MEDICARE ID-TYPE UNSPECIFIED	MASSACHUSETTS	MEDICARE
3	1612905	MEDICAID	MASSACHUSETTS
4	0018410	OTHER	MASSACHUSETTS	NEIGHBORHOOD
5	Y39589	OTHER	MASSACHUSETTS	BLUE CROSS BLUE SHIELD
6	Y36466	OTHER	MASSACHUSETTS	BLUE CROSS BLUE SHIELD
7	35851	OTHER	MASSACHUSETTS	HARVARD PILGRIM
8	402656	OTHER	MASSACHUSETTS	TUFTS

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

NPI Synchronization or Removal

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