Organization
BAYSIDE CHIROPRACTIC, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PAUL J OBRIEN JR. DC (CHIROPRACTOR)
(401) 223-0111
Entity
Organization
Contact information
Practice address
73 TAUNTON AVE, SEEKONK, MA 02771
(401) 223-0111
Mailing address
11 SOUTH ANGELL STREET, # 327, PROVIDENCE, RI 02906
(401) 223-0111
(401) 490-9779
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DCP00417
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
21228-7
BLUE CROSS BLUE SHIELD
RI
01
—
352200
HARVARD PILGRIM
—
01
—
408954
BLUE CHIP
RI
01
—
7823303
AETNA
—
Enumeration date
03/15/2007
Last updated
07/29/2020
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