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NORTH SHORE SPINE & REHAB NPI 1669626099


NPI Information

NPI: 1669626099
Provider Name: NORTH SHORE SPINE & REHAB

Doing Business As: WOBURN FAMILY CHIROPRACTIC

Classification: Chiropractor - 111N00000X
Entity Type: Organization
Address:
20 CUMMINGS PARK
WOBURN, MA
ZIP 01801
Phone: (781) 938-9400
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NORTH SHORE SPINE & REHAB is a chiropractor in Woburn, 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. NORTH SHORE SPINE & REHAB NPI is 1669626099. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Woburn Family Chiropractic.

The provider's business location address is:

20 CUMMINGS PARK
WOBURN, MA
ZIP 01801-122
Phone: (781) 938-9400
Fax: (781) 938-9323

The provider's authorized official is Michael T Pendolino .
The authorized official title is President/owner and has the following contact phone number (781) 938-9400.

The enumeration date for this NPI number is 11/12/2008 and was last updated on 11/12/2008.


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
1111N00000XChiropractorYes

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
1TAX IDOTHERMASSACHUSETTSCIGNA
2Y45439MEDICARE PINMASSACHUSETTS
32611483OTHERMASSACHUSETTSAETNA
4AA7544OTHERMASSACHUSETTSHPHC
5Y36576OTHERMASSACHUSETTSBCBS
61697021OTHERMASSACHUSETTSMASSHEALTH
7U85373MEDICARE UPIN
8Y39891OTHERMASSACHUSETTSBCBS
9460083OTHERMASSACHUSETTSTUFTS

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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