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Organization

GREAT MARSH CHIROPRACTIC CLINIC INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JOHN C DORISS DC (OWNER/PRESIDENT)
(508) 362-4533
Entity
Organization

Contact information

Practice address
1049 MAIN ST, WEST BARNSTABLE, MA 02668-1152
(508) 362-4533
(508) 362-5151
Mailing address
PO BOX 122, WEST BARNSTABLE, MA 02668-0122
(508) 362-4533
(508) 362-5151

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
419
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
Y39017
BCBS OF MA
MA
Enumeration date
09/21/2006
Last updated
04/22/2016
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