Organization
SOUTHCOAST CHIROPRACTIC, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EMANUEL H BOTELHO D.C. (PRESIDENT)
(508) 991-8400
Entity
Organization
Contact information
Practice address
651 ORCHARD ST, SUITE 206, NEW BEDFORD, MA 02744-1008
(508) 991-8400
(508) 991-8788
Mailing address
651 ORCHARD ST, SUITE 206, NEW BEDFORD, MA 02744-1008
(508) 991-8400
(508) 991-8788
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2386
MA
111N00000X
Chiropractor
2462
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9799915
—
MA
Enumeration date
10/12/2006
Last updated
08/22/2020
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