Provider Demographics
NPI:1225355571
Name:BT CHIROPRACTIC HEALTH CENTER, INC.
Entity Type:Organization
Organization Name:BT CHIROPRACTIC HEALTH CENTER, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:LAM
Authorized Official - Middle Name:THANH
Authorized Official - Last Name:HANG
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:617-282-2922
Mailing Address - Street 1:990 DORCHESTER AVE
Mailing Address - Street 2:
Mailing Address - City:DORCHESTER
Mailing Address - State:MA
Mailing Address - Zip Code:02125-1314
Mailing Address - Country:US
Mailing Address - Phone:617-282-2922
Mailing Address - Fax:617-224-9508
Practice Address - Street 1:990 DORCHESTER AVE
Practice Address - Street 2:
Practice Address - City:DORCHESTER
Practice Address - State:MA
Practice Address - Zip Code:02125-1314
Practice Address - Country:US
Practice Address - Phone:617-282-2922
Practice Address - Fax:617-224-9508
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-04-27
Last Update Date:2010-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA2916111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty