# CENTRAL STREET CHIROPRACTIC, CORP.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1760558860
- **Authorized official:** DR. PAUL DAIGLE D.C. (PRESIDENT)
- **Authorized official phone:** (978) 441-0600

## Contact information

- **Practice address:** 191 CENTRAL ST, LOWELL, MA 01852-1923
- **Practice address phone:** (978) 441-0600
- **Mailing address:** 191 CENTRAL ST, LOWELL, MA 01852-1923

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | 1615 | MA | Yes |

## Other

- **Enumeration date:** 11/28/2006
- **Last updated:** 10/23/2007

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | DAY36141 | — | MA |
