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DARK HORSE INCOR. NPI 1699820852


NPI Information

NPI: 1699820852
Provider Name: DARK HORSE, INCOR.

Doing Business As: BROADWAY CHIROPRACTIC

Classification: Chiropractor - 111N00000X
Entity Type: Organization
Address:
176 BROADWAY
SOMERVILLE, MA
ZIP 02145
Phone: (617) 776-7576
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DARK HORSE, INCOR. is a chiropractor in Somerville, 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. DARK HORSE, INCOR. NPI is 1699820852. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Broadway Chiropractic.

The provider's business location address is:

176 BROADWAY
SOMERVILLE, MA
ZIP 02145-129
Phone: (617) 776-7576
Fax: (671) 776-4930

The provider's authorized official is William M Adams .
The authorized official title is President and has the following contact phone number (617) 287-2711.

The enumeration date for this NPI number is 1/25/2007 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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1111N00000XChiropractor194MASSACHUSETTSYes

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
1Y39216OTHERMASSACHUSETTSBC & BS

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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