Organization
MAIN STREET CHIROPRACTIC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KATE BEMIS (OFFICE MANAGER)
(617) 924-8558
Entity
Organization
Contact information
Practice address
182 MAIN ST, WATERTOWN, MA 02472-4409
(617) 924-8558
(617) 924-8559
Mailing address
182 MAIN ST, WATERTOWN, MA 02472-4409
(617) 924-8558
(617) 924-8559
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
180
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
Y39851
LEGACY GROUP PROVIDER #
MA
Enumeration date
05/08/2007
Last updated
08/22/2020
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