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BENJAMIN GRACE NPI 1710036033


NPI Information

NPI: 1710036033
Provider Name: BENJAMIN GRACE

Doing Business As: CHARLES RIVER CHIROPRACTIC

Classification: Chiropractor - 111N00000X
Entity Type: Organization
Address:
717 WASHINGTON ST
SUITE 1
NEWTON, MA
ZIP 02458
Phone: (617) 527-2702
Get Directions

BENJAMIN GRACE is a chiropractor in Newton, 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. BENJAMIN GRACE NPI is 1710036033. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Charles River Chiropractic.

The provider's business location address is:

717 WASHINGTON ST
SUITE 1
NEWTON, MA
ZIP 02458-281
Phone: (617) 527-2702

The provider's authorized official is Benjamin S. Grace .
The authorized official title is Doctor Of Chiropractic and has the following contact phone number (617) 527-2702.

The enumeration date for this NPI number is 1/9/2007 and was last updated on 6/18/2008.


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
1111N00000XChiropractorCH2809MASSACHUSETTSYes

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
1Y45660MEDICARE ID-TYPE UNSPECIFIEDMASSACHUSETTS

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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