Provider Demographics
NPI:1326345745
Name:STREB FAMILY CHIROPRACTIC AND MASSAGE, P.C.
Entity Type:Organization
Organization Name:STREB FAMILY CHIROPRACTIC AND MASSAGE, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:F
Authorized Official - Middle Name:MARTIN
Authorized Official - Last Name:STREB
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:978-874-2800
Mailing Address - Street 1:2 NARROWS RD
Mailing Address - Street 2:SUITE 103B
Mailing Address - City:WESTMINSTER
Mailing Address - State:MA
Mailing Address - Zip Code:01473-1677
Mailing Address - Country:US
Mailing Address - Phone:978-874-2800
Mailing Address - Fax:978-874-2888
Practice Address - Street 1:2 NARROWS RD
Practice Address - Street 2:SUITE 103
Practice Address - City:WESTMINSTER
Practice Address - State:MA
Practice Address - Zip Code:01473-1677
Practice Address - Country:US
Practice Address - Phone:978-874-2800
Practice Address - Fax:978-874-2888
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-02-21
Last Update Date:2015-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA2540111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MAY4543601Medicare PIN