Provider Demographics
NPI:1003971961
Name:DAL, INC
Entity Type:Organization
Organization Name:DAL, INC
Other - Org Name:BARNSTABLE FAMILY CHIROPRACTIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DEBORAH
Authorized Official - Middle Name:
Authorized Official - Last Name:LEVEEN
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:508-790-0606
Mailing Address - Street 1:PO BOX 563
Mailing Address - Street 2:
Mailing Address - City:HYANNIS PORT
Mailing Address - State:MA
Mailing Address - Zip Code:02647-0563
Mailing Address - Country:US
Mailing Address - Phone:508-790-0606
Mailing Address - Fax:508-790-0808
Practice Address - Street 1:677 W MAIN ST
Practice Address - Street 2:
Practice Address - City:HYANNIS
Practice Address - State:MA
Practice Address - Zip Code:02601-3493
Practice Address - Country:US
Practice Address - Phone:508-790-0606
Practice Address - Fax:508-790-0808
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-22
Last Update Date:2015-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA694479OtherTUFTS
MA110083902AMedicaid
MAY39666OtherBCBS MA
MADP9454OtherMEDICARE RAILROAD
MAY39666OtherBCBS MA