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Organization
JENNIFER J BAK DC PC
Active
Organization
JENNIFER J BAK DC PC
Active
Parent organization
JENNIFER J BAK DC PC
Other names
Bak Chiropractic
Organization subpart
Yes
Provider details
NPI number
Legal business name
JENNIFER J BAK DC PC
Authorized official
DR. JENNIFER J BAK DC (OWNER PRESIDENT)
(781) 224-0010
Entity
Organization
Contact information
Practice address
ONE WEST WATER ST, STE 207, WAKEFIELD, MA 01880
(781) 224-0010
(781) 224-0147
Mailing address
ONE WEST WATER STREET, SUITE 207, WAKEFIELD, MA 01880
(781) 224-0010
(781) 224-0147
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2125
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
Y36545
BCBS MA
—
01
—
Y39752
GROUP BCBS MA
—
Enumeration date
12/01/2006
Last updated
07/30/2013
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