Provider Demographics
NPI:1043416969
Name:LOW MILLS CHIROPRACTIC AND REHAB CENTER
Entity Type:Organization
Organization Name:LOW MILLS CHIROPRACTIC AND REHAB CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:LORVERST
Authorized Official - Middle Name:
Authorized Official - Last Name:JEAN
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:617-296-7200
Mailing Address - Street 1:2019 BAY RD
Mailing Address - Street 2:
Mailing Address - City:SHARON
Mailing Address - State:MA
Mailing Address - Zip Code:02067-3033
Mailing Address - Country:US
Mailing Address - Phone:617-201-0321
Mailing Address - Fax:617-296-2900
Practice Address - Street 1:1141 WASHINGTON STREET
Practice Address - Street 2:2019 BAY ROAD
Practice Address - City:DORCHESTER
Practice Address - State:MA
Practice Address - Zip Code:02124
Practice Address - Country:US
Practice Address - Phone:617-201-0321
Practice Address - Fax:617-296-2900
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-26
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA270764111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty