Organization
LEVESQUE CHIROPRACTIC, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ANDREW J. PORCELLO (BUSINESS MANAGER)
(413) 737-9000
Entity
Organization
Contact information
Practice address
916 BELMONT AVE, SPRINGFIELD, MA 01108-2447
(413) 737-9000
(413) 788-9229
Mailing address
916 BELMONT AVE, SPRINGFIELD, MA 01108-2447
(413) 737-9000
(413) 788-9229
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
590
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110029790A
—
MA
Enumeration date
10/16/2015
Last updated
10/16/2015
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