Organization
SHAW CHIROPRACTIC INCORPORATED
Active
Other names
Carroll Family Chiropractic
Organization subpart
No
Provider details
NPI number
Authorized official
DEREK J CARROLL D.C. (PRESIDENT)
(508) 540-2271
Entity
Organization
Contact information
Practice address
303 DILLINGHAM AVE STE B, FALMOUTH, MA 02540-3316
(508) 540-2271
(508) 548-7754
Mailing address
303 DILLINGHAM AVE STE B, FALMOUTH, MA 02540-3316
(508) 540-2271
(508) 548-7754
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2494
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1602110
—
MA
01
—
Y39689
BCBS OF MA
—
Enumeration date
11/02/2007
Last updated
02/21/2022
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