Provider Demographics
NPI:1104399112
Name:ESSEX CHIROPRACTIC INC
Entity Type:Organization
Organization Name:ESSEX CHIROPRACTIC INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:DENNIS
Authorized Official - Middle Name:
Authorized Official - Last Name:HAMEL
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:978-686-7111
Mailing Address - Street 1:49 HOLT RD
Mailing Address - Street 2:
Mailing Address - City:ANDOVER
Mailing Address - State:MA
Mailing Address - Zip Code:01810-4121
Mailing Address - Country:US
Mailing Address - Phone:978-621-3980
Mailing Address - Fax:
Practice Address - Street 1:493 ESSEX ST
Practice Address - Street 2:
Practice Address - City:LAWRENCE
Practice Address - State:MA
Practice Address - Zip Code:01840-1241
Practice Address - Country:US
Practice Address - Phone:978-686-7111
Practice Address - Fax:978-686-5502
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-01-03
Last Update Date:2019-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty