Provider Demographics
NPI:1285857524
Name:SHREWSBURY FAMILY CHIROPRACTIC
Entity Type:Organization
Organization Name:SHREWSBURY FAMILY CHIROPRACTIC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:BRIAN
Authorized Official - Middle Name:J
Authorized Official - Last Name:MAHER
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:508-845-2778
Mailing Address - Street 1:555 MAIN ST
Mailing Address - Street 2:SUITE 2
Mailing Address - City:SHREWSBURY
Mailing Address - State:MA
Mailing Address - Zip Code:01545-2932
Mailing Address - Country:US
Mailing Address - Phone:508-845-2778
Mailing Address - Fax:508-845-9143
Practice Address - Street 1:555 MAIN ST
Practice Address - Street 2:SUITE 2
Practice Address - City:SHREWSBURY
Practice Address - State:MA
Practice Address - Zip Code:01545-2932
Practice Address - Country:US
Practice Address - Phone:508-845-2778
Practice Address - Fax:508-845-9143
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-11
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA2315111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty