Provider Demographics
NPI:1386822633
Name:DENETTE FAMILY CHIROPRACTIC
Entity Type:Organization
Organization Name:DENETTE FAMILY CHIROPRACTIC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIROPRACTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:KRISTEN
Authorized Official - Middle Name:MARGARET
Authorized Official - Last Name:DENETTE
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:978-407-4281
Mailing Address - Street 1:728 WASHINGTON ST
Mailing Address - Street 2:
Mailing Address - City:SOUTH EASTON
Mailing Address - State:MA
Mailing Address - Zip Code:02375-1138
Mailing Address - Country:US
Mailing Address - Phone:508-230-5056
Mailing Address - Fax:
Practice Address - Street 1:728 WASHINGTON ST
Practice Address - Street 2:
Practice Address - City:SOUTH EASTON
Practice Address - State:MA
Practice Address - Zip Code:02375-1138
Practice Address - Country:US
Practice Address - Phone:508-230-5056
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-02-07
Last Update Date:2012-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA374111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty