Provider Demographics
NPI:1275645046
Name:LEIGH, RICHARD JOSEPH (DC)
Entity Type:Individual
Prefix:
First Name:RICHARD
Middle Name:JOSEPH
Last Name:LEIGH
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 1:288 LITTLETON RD
Mailing Address - Street 2:SUITE 3
Mailing Address - City:WESTFORD
Mailing Address - State:MA
Mailing Address - Zip Code:01886
Mailing Address - Country:US
Mailing Address - Phone:978-692-4476
Mailing Address - Fax:978-692-2134
Practice Address - Street 1:288 LITTLETON RD
Practice Address - Street 2:SUITE 3
Practice Address - City:WESTFORD
Practice Address - State:MA
Practice Address - Zip Code:01886
Practice Address - Country:US
Practice Address - Phone:978-692-4476
Practice Address - Fax:978-692-2134
Is Sole Proprietor?:No
Enumeration Date:2006-08-31
Last Update Date:2007-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA1750111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
MAY36226Medicare PIN
MAU06279Medicare UPIN