Active NPIIndividual provider

Jamal T De Vita, DC

Chiropractor in Acton, Massachusetts

NPI Number1972557288
Practice location
179 Great RD Ste 107, Acton, MA 01720-5740
Fax
978-264-4431
Last updated
May 6, 2020

Jamal Thomas De Vita is a Chiropractor based in Acton, MA. Jamal Thomas De Vita practices in Acton, MA and has the professional credentials of DC. The NPI Number for Jamal Thomas De Vita is 1972557288 and holds a License No. 3001 (MA). The current practice location address for Jamal Thomas De Vita is 179 Great RD Ste 107, Acton, MA 01720-5740 and can be reached out via phone at 978-263-9336 and via fax at 978-264-4431.

Provider Profile Details

NPI Number
1972557288
Provider Name
Jamal Thomas De Vita
Credential
DC
Provider Entity Type
Individual
Gender
Male
Address
179 Great RD Ste 107, Acton, MA 01720-5740
Phone Number
978-263-9336
Fax Number
978-264-4431
Primary Taxonomy
Chiropractor · 111N00000X
Sole Proprietor
No
Provider Enumeration Date
May 20, 2006
Last Update Date
May 6, 2020
Certification Date
May 6, 2020
NPI Status
Active

Provider Business Practice Location Address Details

Address
179 Great RD Ste 107
Acton, MA 01720-5740
City
Acton
Zip
01720-5740
Phone Number
978-263-9336
Fax Number
978-264-4431
Acton, MA 01720Get directions →

Provider Business Mailing Address Details

Address
179 Great RD Ste 107
Acton, MA 01720-5740
City
Acton
State
MA
Zip
01720-5740
Phone Number
978-263-9336
Fax Number
978-264-4431

License Information

License Number
3001
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 Jamal T De Vita, DC?

The NPI number of Jamal T De Vita, DC is 1972557288. It was assigned on May 20, 2006 and is currently active in the NPPES registry.

What is the specialty of Jamal T De Vita, DC?

Jamal T De Vita, DC is registered under the primary taxonomy Chiropractor (code 111N00000X), licensed in MA under license number 3001.

Where does Jamal T De Vita, DC practice?

The practice location is 179 Great RD Ste 107, Acton, MA 01720-5740. The office can be reached at 978-263-9336 (phone) or 978-264-4431 (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 1972557288 directly on the NPPES registry website.

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