Individual
MR. CALEB ULTIMO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C
Contact information
Practice address
263 MAIN ST, BROCKTON, MA 02301-5325
(508) 588-7100
(508) 588-7101
Mailing address
51 RUSSELL RD, BROCKTON, MA 02302-2951
(508) 586-1173
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3095
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7753977
AETNA
MA
01
—
Y37176
BLUE CROSS BLUE SHIELD
MA
Enumeration date
02/28/2007
Last updated
12/22/2008
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