Active NPIOrganization

Life Clinic Of Ma PC

Chiropractor in Chestnut Hill, Massachusetts

NPI Number1225568975
Practice location
300 Boylston St, Chestnut Hill, MA 02467-1959
Fax
—
Last updated
June 26, 2019

Life Clinic Of Ma PC is a healthcare organization based in Chestnut Hill, MA. Life Clinic Of Ma PC practices in Chestnut Hill, MA. The NPI Number for Life Clinic Of Ma PC is 1225568975 and holds a License No. 22574 (MA). The current practice location address for Life Clinic Of Ma PC is 300 Boylston St, Chestnut Hill, MA 02467-1959 and can be reached out via phone at 339-927-4379.

Provider Profile Details

NPI Number
1225568975
Provider Name
Life Clinic Of Ma PC
Provider Entity Type
Organization
Address
300 Boylston St, Chestnut Hill, MA 02467-1959
Phone Number
339-927-4379
Primary Taxonomy
Chiropractor · 111N00000X
Organization Subpart
No
Authorized Official
Albert Couillard, DC · President · 339-927-4379
Provider Enumeration Date
June 15, 2017
Last Update Date
June 26, 2019
NPI Status
Active

Provider Business Practice Location Address Details

Address
300 Boylston St
Chestnut Hill, MA 02467-1959
Zip
02467-1959
Phone Number
339-927-4379
Chestnut Hill, MA 02467Get directions →

Provider Business Mailing Address Details

Address
Po Box 686
Chanhassen, MN 55317-0686
City
Chanhassen
State
MN
Zip
55317-0686

License Information

License Number (1)
22574
License State (1)
MA
Taxonomy (1)
Physical Therapist · 225100000X
License Number (2)
3387
License State (2)
MA
Taxonomy (2)
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 Life Clinic Of Ma PC?

The NPI number of Life Clinic Of Ma PC is 1225568975. It was assigned on June 15, 2017 and is currently active in the NPPES registry.

What is the specialty of Life Clinic Of Ma PC?

Life Clinic Of Ma PC is registered under the primary taxonomy Chiropractor (code 111N00000X), licensed in MA under license number 22574.

Where does Life Clinic Of Ma PC practice?

The practice location is 300 Boylston St, Chestnut Hill, MA 02467-1959. The office can be reached at 339-927-4379 (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 1225568975 directly on the NPPES registry website.

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