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Organization
ALDENVILLE CHIROPRACTIC
Active
Organization
ALDENVILLE CHIROPRACTIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHARLES EDWARD SAMSON D.C. (CO-OWNER)
(413) 532-1040
Entity
Organization
Contact information
Practice address
755 GRATTAN ST, CHICOPEE, MA 01020-1238
(413) 532-1040
(413) 536-0320
Mailing address
755 GRATTAN ST, CHICOPEE, MA 01020-1238
(413) 532-1040
(413) 536-0320
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
1092
MA
111N00000X
Chiropractor
Primary
919
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1605186
—
MA
01
—
SA Y35635
BCBS MA CHARLES SAMSON
MA
01
—
SA Y35772
BCBS MA ANASTACIA SAMSON
MA
01
—
SA Y39578
BCBS MA GROUP NUMBER
MA
01
—
Y39578
MEDICARE MA GROUP NUMBER
MA
Enumeration date
01/30/2007
Last updated
08/07/2008
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