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Organization

IN LINE CHIROPRACTIC, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. DAN L. MACUMBER D.C. (OWNER)
(508) 347-3033
Entity
Organization

Contact information

Practice address
113 MAIN ST, UNITE #5, STURBRIDGE, MA 01566-1556
(508) 347-3033
(508) 347-3033
Mailing address
42 HILLSIDE DR, STURBRIDGE, MA 01566-1536
(508) 347-9540

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3003
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
9752820
MA
01
AA76168
HARVARD PILGRIM
MA
01
Y40070
BLU CROSS &BLUE SHIELD
MA
Enumeration date
07/04/2006
Last updated
03/24/2008
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