Individual
DR. SUSAN FRANCES WALETKUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
283 MAIN ST, KINGSTON, MA 02364-1910
(781) 585-0585
(781) 585-0586
Mailing address
283 MAIN ST, KINGSTON, MA 02364-1910
(781) 585-0585
(781) 585-0586
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1946
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0018410
NEIGHBORHOOD
MA
05
—
1612905
—
MA
01
—
35851
HARVARD PILGRIM
MA
01
—
402656
TUFTS
MA
01
—
Y36466
BLUE CROSS BLUE SHIELD
MA
01
—
Y39589
BLUE CROSS BLUE SHIELD
MA
Enumeration date
01/08/2007
Last updated
07/09/2007
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