Provider Demographics
NPI:1033119995
Name:MESSINA, CHAD M (DC)
Entity Type:Individual
Prefix:DR
First Name:CHAD
Middle Name:M
Last Name:MESSINA
Suffix:
Gender:M
Credentials:DC
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Mailing Address - Street 1:331 BOSTON POST RD E
Mailing Address - Street 2:SUITE 1
Mailing Address - City:MARLBOROUGH
Mailing Address - State:MA
Mailing Address - Zip Code:01752-3623
Mailing Address - Country:US
Mailing Address - Phone:508-460-6555
Mailing Address - Fax:508-460-7683
Practice Address - Street 1:331 BOSTON POST RD E
Practice Address - Street 2:SUITE 1
Practice Address - City:MARLBOROUGH
Practice Address - State:MA
Practice Address - Zip Code:01752-3623
Practice Address - Country:US
Practice Address - Phone:508-460-6555
Practice Address - Fax:508-460-7683
Is Sole Proprietor?:Yes
Enumeration Date:2005-07-21
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MA2912111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
MAY37063OtherBLUE CROSS BLUE SHIELD
MAAA30659OtherHARVARD PILGRIM
MA2279849OtherFIRST HEALTH
MA2279849OtherFIRST HEALTH