Organization
ULTRACARE, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHANNON PACHECO (BILLING/CREDENTIALING)
(508) 675-2840
Entity
Organization
Contact information
Practice address
157 MAIN ST, BROCKTON, MA 02301-4012
(508) 510-4221
(508) 510-5126
Mailing address
PO BOX 4137, BROCKTON, MA 02303-4137
(508) 510-4221
(508) 510-5126
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
—
—
174400000X
Specialist
—
—
225100000X
Physical Therapist
—
—
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
04/25/2014
Last updated
01/26/2016
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