Stacey A Dersham, DC
Chiropractor in Fall River, Massachusetts
1871753228- Practice location
- 657 Pleasant St, Box #5, Fall River, MA 02721-4323
- Phone
- 508-677-2554
- Fax
- 508-677-2553
- Last updated
- November 20, 2013
Stacey Anne Dersham is a Chiropractor based in Fall River, MA. Stacey Anne Dersham practices in Fall River, MA and has the professional credentials of DC. The NPI Number for Stacey Anne Dersham is 1871753228 and holds a License No. 001788 (CT). The current practice location address for Stacey Anne Dersham is 657 Pleasant St, Box #5, Fall River, MA 02721-4323 and can be reached out via phone at 508-677-2554 and via fax at 508-677-2553.
Provider Profile Details
- NPI Number
- 1871753228
- Provider Name
- Stacey Anne Dersham
- Credential
- DC
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 657 Pleasant St, Box #5, Fall River, MA 02721-4323
- Phone Number
- 508-677-2554
- Fax Number
- 508-677-2553
- Primary Taxonomy
- Chiropractor · 111N00000X
- Sole Proprietor
- No
- Provider Enumeration Date
- June 10, 2008
- Last Update Date
- November 20, 2013
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 657 Pleasant St
Box #5
Fall River, MA 02721-4323 - City
- Fall River
- State
- Massachusetts
- Zip
- 02721-4323
- Phone Number
- 508-677-2554
- Fax Number
- 508-677-2553
Provider Business Mailing Address Details
- Address
- 113 Braley Hill RD
Rochester, MA 02770-1917 - City
- Rochester
- State
- MA
- Zip
- 02770-1917
- Phone Number
- 508-725-8307
License Information
- Taxonomy (1)
- Student in an Organized Health Care Education/Training Program · 390200000X
- License Number (2)
- 001788
- License State (2)
- CT
- Taxonomy (2)
- Chiropractor · 111N00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 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 Stacey A Dersham, DC?
The NPI number of Stacey A Dersham, DC is 1871753228. It was assigned on June 10, 2008 and is currently active in the NPPES registry.
What is the specialty of Stacey A Dersham, DC?
Stacey A Dersham, DC is registered under the primary taxonomy Chiropractor (code 111N00000X), licensed in CT under license number 001788.
Where does Stacey A Dersham, DC practice?
The practice location is 657 Pleasant St, Box #5, Fall River, MA 02721-4323. The office can be reached at 508-677-2554 (phone) or 508-677-2553 (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 1871753228 directly on the NPPES registry website.