Provider Demographics
NPI:1275613671
Name:DUPHILY, CAROL (DC)
Entity Type:Individual
Prefix:DR
First Name:CAROL
Middle Name:
Last Name:DUPHILY
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:934 ASHLEY BLVD
Mailing Address - Street 2:
Mailing Address - City:NEW BEDFORD
Mailing Address - State:MA
Mailing Address - Zip Code:02745-2410
Mailing Address - Country:US
Mailing Address - Phone:508-998-8444
Mailing Address - Fax:508-998-9777
Practice Address - Street 1:934 ASHLEY BLVD
Practice Address - Street 2:
Practice Address - City:NEW BEDFORD
Practice Address - State:MA
Practice Address - Zip Code:02745-2410
Practice Address - Country:US
Practice Address - Phone:508-998-8444
Practice Address - Fax:508-998-9777
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA1288111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
MAY35900Medicare ID - Type Unspecified