Active NPIOrganization

Kelley Boulevard Chiropractic

Chiropractor in Plainville, Massachusetts

NPI Number1083895221
Practice location
72 Taunton St Ste G01, Plainville, MA 02762-2132
Fax
508-699-2228
Last updated
November 15, 2007

Kelley Boulevard Chiropractic is a healthcare organization based in Plainville, MA. Kelley Boulevard Chiropractic practices in Plainville, MA. The NPI Number for Kelley Boulevard Chiropractic is 1083895221 and holds a License No. 983 (MA). The current practice location address for Kelley Boulevard Chiropractic is 72 Taunton St Ste G01, Plainville, MA 02762-2132 and can be reached out via phone at 508-699-2228 and via fax at 508-699-2228.

Provider Profile Details

NPI Number
1083895221
Provider Name
Kelley Boulevard Chiropractic
Provider Entity Type
Organization
Address
72 Taunton St Ste G01, Plainville, MA 02762-2132
Phone Number
508-699-2228
Fax Number
508-699-2228
Primary Taxonomy
Chiropractor · 111N00000X
Organization Subpart
No
Authorized Official
Dr. Martin I Gruder, DC · Chiropractor/Owner · 508-699-2228
Provider Enumeration Date
November 15, 2007
Last Update Date
November 15, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
72 Taunton St Ste G01
Plainville, MA 02762-2132
Zip
02762-2132
Phone Number
508-699-2228
Fax Number
508-699-2228
Plainville, MA 02762Get directions →

Provider Business Mailing Address Details

Address
72 Taunton St Ste G01
Plainville, MA 02762-2132
City
Plainville
State
MA
Zip
02762-2132
Phone Number
508-699-2228
Fax Number
508-699-2228

License Information

License Number
983
License State
MA
Taxonomy
Chiropractor · 111N00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Kelley Boulevard Chiropractic?

The NPI number of Kelley Boulevard Chiropractic is 1083895221. It was assigned on November 15, 2007 and is currently active in the NPPES registry.

What is the specialty of Kelley Boulevard Chiropractic?

Kelley Boulevard Chiropractic is registered under the primary taxonomy Chiropractor (code 111N00000X), licensed in MA under license number 983.

Where does Kelley Boulevard Chiropractic practice?

The practice location is 72 Taunton St Ste G01, Plainville, MA 02762-2132. The office can be reached at 508-699-2228 (phone) or 508-699-2228 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1083895221 directly on the NPPES registry website.

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