Provider Demographics
NPI:1164634481
Name:THE WHITTEMORE GROUP, INC.
Entity Type:Organization
Organization Name:THE WHITTEMORE GROUP, INC.
Other - Org Name:STOW FAMILY CHIROPRACTIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:TODD
Authorized Official - Middle Name:ALLAN
Authorized Official - Last Name:WHITTEMORE
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:978-897-1770
Mailing Address - Street 1:118 GREAT RD STE 205
Mailing Address - Street 2:
Mailing Address - City:STOW
Mailing Address - State:MA
Mailing Address - Zip Code:01775-1190
Mailing Address - Country:US
Mailing Address - Phone:978-897-1770
Mailing Address - Fax:978-897-1715
Practice Address - Street 1:118 GREAT RD
Practice Address - Street 2:SUITE 215
Practice Address - City:STOW
Practice Address - State:MA
Practice Address - Zip Code:01775-1190
Practice Address - Country:US
Practice Address - Phone:978-897-1770
Practice Address - Fax:978-897-1715
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-07
Last Update Date:2024-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA2723111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA655790OtherUNITED HEALTH CARE
MAY4562301OtherMEDICARE INDIVIDUAL #
MA0003462OtherMEDICARE PIN/PTAN GROUP #
MA352540OtherHARVARD PILGRAM HEATHCARE
MA699749OtherTUFTS GROUP #
MA835626OtherMPN
MA1368343002OtherCIGNA
MA3236217OtherAETNA
MAY39725OtherBCBS MA GROUP
MA499711OtherTUFTS INDIVIDUAL #
MAY36958OtherBCBS MA INDIVIDUAL
MA699749OtherTUFTS GROUP #