Individual
ANDREA COATES VINSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.C.
Contact information
Practice address
25 DUNCAN ST, GLOUCESTER, MA 01930-6001
(978) 281-4977
(978) 281-4976
Mailing address
PO BOX 1108, GLOUCESTER, MA 01931-1108
(978) 281-4977
(978) 281-4976
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
MA942
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
121738
PHCS
MA
01
—
351046
HARVARD PILGRIM HEALTH PL
MA
01
—
716051
TUFTS HEALTH PLAN
MA
01
—
Y35701
BLUE CROSS BLUE SHIELD
MA
Enumeration date
12/20/2006
Last updated
07/08/2007
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