Individual
DR. BRIAN RICHARD PETRIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
575 SOUTH ST W, UNIT 2, RAYNHAM, MA 02767-5305
(508) 821-4049
(508) 821-2526
Mailing address
575 SOUTH ST W, UNIT 2, RAYNHAM, MA 02767-5305
(508) 821-4049
(508) 821-2526
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1824
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1601580
—
MA
01
—
335503
TUFTS OUT OF NETWORK ID
MA
01
—
401417
BLUE CHIP RI ID NO
MA
01
—
4981-2
BC/BS RI PROVIDER NO
MA
01
—
Y36303
BC/BS OF MA PROVIDER NO
MA
01
—
ZY39272
BC/BS MA GROUP ID NO
MA
Enumeration date
10/13/2006
Last updated
05/08/2013
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