Active NPIIndividual provider

Wallace K Massah, DC

Chiropractor in Roxbury, Massachusetts

NPI Number1144640632
Practice location
190 Dudley St, Roxbury, MA 02119-2573
Fax
—
Last updated
April 23, 2014

Wallace K Massah is a Chiropractor based in Roxbury, MA. Wallace K Massah practices in Roxbury, MA and has the professional credentials of DC. The NPI Number for Wallace K Massah is 1144640632 and holds a License No. 3444 (MA). The current practice location address for Wallace K Massah is 190 Dudley St, Roxbury, MA 02119-2573 and can be reached out via phone at 617-442-8600.

Provider Profile Details

NPI Number
1144640632
Provider Name
Wallace K Massah
Credential
DC
Provider Entity Type
Individual
Gender
Male
Address
190 Dudley St, Roxbury, MA 02119-2573
Phone Number
617-442-8600
Primary Taxonomy
Chiropractor · 111N00000X
Sole Proprietor
No
Provider Enumeration Date
April 23, 2014
Last Update Date
April 23, 2014
NPI Status
Active

Provider Business Practice Location Address Details

Address
190 Dudley St
Roxbury, MA 02119-2573
Zip
02119-2573
Phone Number
617-442-8600
Roxbury, MA 02119Get directions →

Provider Business Mailing Address Details

Address
190 Dudley St
Roxbury, MA 02119-2573
City
Roxbury
State
MA
Zip
02119-2573
Phone Number
617-442-8600

License Information

License Number
3444
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 Wallace K Massah, DC?

The NPI number of Wallace K Massah, DC is 1144640632. It was assigned on April 23, 2014 and is currently active in the NPPES registry.

What is the specialty of Wallace K Massah, DC?

Wallace K Massah, DC is registered under the primary taxonomy Chiropractor (code 111N00000X), licensed in MA under license number 3444.

Where does Wallace K Massah, DC practice?

The practice location is 190 Dudley St, Roxbury, MA 02119-2573. The office can be reached at 617-442-8600 (phone).

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 1144640632 directly on the NPPES registry website.

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