Provider Demographics
NPI:1093163198
Name:NAWEED CHIROPRACTIC CORPORATION
Entity Type:Organization
Organization Name:NAWEED CHIROPRACTIC CORPORATION
Other - Org Name:ZENSPORT WELLNESS CHIROPRACTIC STUDIO
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JAWEED
Authorized Official - Middle Name:AHMAD
Authorized Official - Last Name:NAWEED
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:510-384-8653
Mailing Address - Street 1:37 DERBY ST STE 2
Mailing Address - Street 2:
Mailing Address - City:HINGHAM
Mailing Address - State:MA
Mailing Address - Zip Code:02043-3738
Mailing Address - Country:US
Mailing Address - Phone:510-384-8653
Mailing Address - Fax:510-588-5598
Practice Address - Street 1:37 DERBY ST STE 2
Practice Address - Street 2:
Practice Address - City:HINGHAM
Practice Address - State:MA
Practice Address - Zip Code:02043-3738
Practice Address - Country:US
Practice Address - Phone:781-741-0074
Practice Address - Fax:781-208-5443
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-05-31
Last Update Date:2021-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111NS0005XChiropractic ProvidersChiropractorSports PhysicianGroup - Single Specialty