Provider Demographics
NPI:1245396035
Name:BARON, CHESTER THOMAS (DC)
Entity Type:Individual
Prefix:DR
First Name:CHESTER
Middle Name:THOMAS
Last Name:BARON
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7A LAUREL ST
Mailing Address - Street 2:
Mailing Address - City:FAIRHAVEN
Mailing Address - State:MA
Mailing Address - Zip Code:02719-2738
Mailing Address - Country:US
Mailing Address - Phone:508-997-4302
Mailing Address - Fax:
Practice Address - Street 1:7A LAUREL ST
Practice Address - Street 2:
Practice Address - City:FAIRHAVEN
Practice Address - State:MA
Practice Address - Zip Code:02719-2738
Practice Address - Country:US
Practice Address - Phone:508-997-4302
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-28
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA31111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA35199OtherHARVARD PILGRIM
MA35199OtherHARVARD PILGRIM