Organization
CORPORATE CHIROPRACTIC, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MELISSA MARIE BRODERICK D.C. (OWNER)
(978) 452-6232
Entity
Organization
Contact information
Practice address
174 CENTRAL ST, SUITE 234, LOWELL, MA 01852-1929
(987) 452-6232
Mailing address
174 CENTRAL ST, SUITE 234, LOWELL, MA 01852-1929
(987) 452-6232
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2553
MA
111N00000X
Chiropractor
2696
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AA41755
HARVARD PILGRAM
MA
01
—
Y39875
BCBS
MA
Enumeration date
11/14/2006
Last updated
08/22/2020
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