Provider Demographics
NPI:1013357672
Name:PULLEY, JANINE MARIE LING (DC)
Entity Type:Individual
Prefix:
First Name:JANINE
Middle Name:MARIE LING
Last Name:PULLEY
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:102 PETERS ST STE 1
Mailing Address - Street 2:
Mailing Address - City:NORTH ANDOVER
Mailing Address - State:MA
Mailing Address - Zip Code:01845-5049
Mailing Address - Country:US
Mailing Address - Phone:978-237-5106
Mailing Address - Fax:978-420-4399
Practice Address - Street 1:102 PETERS ST STE 1
Practice Address - Street 2:
Practice Address - City:NORTH ANDOVER
Practice Address - State:MA
Practice Address - Zip Code:01845-5049
Practice Address - Country:US
Practice Address - Phone:978-237-5106
Practice Address - Fax:978-420-4399
Is Sole Proprietor?:Yes
Enumeration Date:2013-06-27
Last Update Date:2014-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA3427111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor