Individual
DOUGLAS JOSEPH GENDRON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
438 CHESTNUT ST, SPRINGFIELD, MA 01107
(413) 746-0504
(413) 746-0508
Mailing address
438 CHESTNUT ST, SPRINGFIELD, MA 01107
(413) 746-0504
(413) 746-0508
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2005
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1028952
FALLON
—
01
—
1601229
MASS HEALTH MEDICAID
—
05
—
1601229
—
MA
01
—
3065316
AETNA
—
01
—
665295
ACN GROUP
—
01
—
Y36679
BCBS
MA
01
—
Y36679
BCBS MASS INDEMNITY
—
01
—
Y45483
MEDICARE MASS AREA 99
—
Enumeration date
08/19/2006
Last updated
07/08/2007
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us