Individual
MR. FREDRICK H. CHASSMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Taxonomy
Speciality
Code
Description
License number
State
111NR0400X
Rehabilitation Chiropractor
Primary
1492
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1610856
—
MA
01
—
CHY36090
BLUE CROSS BLUE SHIELD
MA
Enumeration date
11/06/2006
Last updated
07/08/2007
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