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Individual

DR. ERIN L. CHESLOCK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DC

Contact information

Practice address
47 W ELM ST, SUITE 208, BROCKTON, MA 02301-4332
(508) 580-2225
(508) 580-8898
Mailing address
211 COUNTRY WAY, SCITUATE, MA 02066-3718
(508) 580-2225
(508) 580-8898

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1904
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
12912
HPHC NUMBER
MA
01
Y36452
BCBS INDEMNITY NUMBER
MA
Enumeration date
03/06/2007
Last updated
07/08/2007
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