Individual
MR. PRESCOTT JAMES WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
558 ELECTRIC AVE, FITCHBURG, MA 01420-5370
(978) 343-9592
(978) 343-9054
Mailing address
558 ELECTRIC AVE, FITCHBURG, MA 01402
(978) 343-9592
(978) 343-9054
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2552
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1696874
—
MA
01
—
21313
FALLON
MA
01
—
2503513
AETNA
MA
01
—
352484
HARVARD PILGRIM
MA
01
—
461840
SECURE HORIZONS
MA
01
—
Y36767
BCBS
MA
Enumeration date
01/30/2007
Last updated
10/02/2017
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