Active NPIIndividual providerSole proprietor

Richard R Waller Jr., DC

Chiropractor, Orthopedic in Bolton, Massachusetts

NPI Number1689661944
Practice location
563 Main St, Bolton, MA 01740-1300
Fax
978-779-6034
Last updated
August 20, 2010

Richard R. Waller is a Chiropractor, Orthopedic based in Bolton, MA. Richard R. Waller practices in Bolton, MA and has the professional credentials of DC. The NPI Number for Richard R. Waller is 1689661944 and holds a License No. 881 (MA). The current practice location address for Richard R. Waller is 563 Main St, Bolton, MA 01740-1300 and can be reached out via phone at 978-779-5539 and via fax at 978-779-6034.

Provider Profile Details

NPI Number
1689661944
Provider Name
Richard R. Waller
Credential
DC
Provider Entity Type
Individual
Gender
Male
Address
563 Main St, Bolton, MA 01740-1300
Phone Number
978-779-5539
Fax Number
978-779-6034
Primary Taxonomy
Chiropractor, Orthopedic · 111NX0800X
Sole Proprietor
Yes
Provider Enumeration Date
October 3, 2005
Last Update Date
August 20, 2010
NPI Status
Active

Provider Business Practice Location Address Details

Address
563 Main St
Bolton, MA 01740-1300
City
Bolton
Zip
01740-1300
Phone Number
978-779-5539
Fax Number
978-779-6034
Bolton, MA 01740Get directions →

Provider Business Mailing Address Details

Address
563 Main St
Bolton, MA 01740-1300
City
Bolton
State
MA
Zip
01740-1300
Phone Number
978-779-5539
Fax Number
978-779-6034

License Information

License Number
881
License State
MA
Taxonomy
Chiropractor, Orthopedic · 111NX0800X · 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 Richard R Waller Jr., DC?

The NPI number of Richard R Waller Jr., DC is 1689661944. It was assigned on October 3, 2005 and is currently active in the NPPES registry.

What is the specialty of Richard R Waller Jr., DC?

Richard R Waller Jr., DC is registered under the primary taxonomy Chiropractor, Orthopedic (code 111NX0800X), licensed in MA under license number 881.

Where does Richard R Waller Jr., DC practice?

The practice location is 563 Main St, Bolton, MA 01740-1300. The office can be reached at 978-779-5539 (phone) or 978-779-6034 (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 1689661944 directly on the NPPES registry website.

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