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ISLAND SPINE CENTER INC. NPI 1558035436


NPI Information

NPI: 1558035436
Provider Name: ISLAND SPINE CENTER INC.
Classification: Chiropractor - 111NI0013X
Entity Type: Organization

Specialization: Independent Medical Examiner

Address:
5 UPPER DOUGLAS RD.
OAK BLUFFS, MA
ZIP 02557
Phone: (508) 687-9320
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ISLAND SPINE CENTER INC. is an independent medical examiner chiropractor in Oak Bluffs, MA. The provider is a chiropractor and special evaluator not involved with the medical care of the individual examinee that impartially evaluates the care being provided by other practitioners to clarify clinical, disability, liability or other case issues. ISLAND SPINE CENTER INC. NPI is 1558035436. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

5 UPPER DOUGLAS RD.
OAK BLUFFS, MA
ZIP 02557-666
Phone: (508) 687-9320
Fax: (508) 955-5070

The provider's authorized official is Kimberly Burke .
The authorized official title is Doctor and has the following contact phone number (508) 687-9320.

The enumeration date for this NPI number is 8/4/2021 and was last updated on 8/4/2021.


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
1111NI0013XChiropractorIndependent Medical ExaminerYes

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
1110105860AMEDICAIDMASSACHUSETTS

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.