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Organization
BLOMERTH CHIROPRACTIC
Active
Organization
BLOMERTH CHIROPRACTIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ELLEN MARIE BLOMERTH D.C. (PARTNER)
(978) 535-6155
Entity
Organization
Contact information
Practice address
215 NEWBURY ST, SUITE 102, PEABODY, MA 01960-2414
(978) 535-6155
(978) 535-1685
Mailing address
215 NEWBURY ST, SUITE 102, PEABODY, MA 01960-2414
(978) 535-6155
(978) 535-1685
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
196
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
Y35513
BLUE CROSS BLUE SHIELD MA
MA
01
—
Y35601
BLUE CROSS BLUE SHIELD
MA
01
—
Y39393
BLUE CROSS BLUE SHIELD MA
MA
Enumeration date
08/16/2006
Last updated
08/22/2020
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