Provider Demographics
NPI:1417015363
Name:MACDONALD, JULIE CRAWFORD (BA, DC)
Entity Type:Individual
Prefix:DR
First Name:JULIE
Middle Name:CRAWFORD
Last Name:MACDONALD
Suffix:
Gender:F
Credentials:BA, DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:6 CENTRAL ST
Mailing Address - Street 2:P.O. BOX 513
Mailing Address - City:ROWLEY
Mailing Address - State:MA
Mailing Address - Zip Code:01969-1737
Mailing Address - Country:US
Mailing Address - Phone:978-948-6966
Mailing Address - Fax:978-948-3402
Practice Address - Street 1:6 CENTRAL ST
Practice Address - Street 2:
Practice Address - City:ROWLEY
Practice Address - State:MA
Practice Address - Zip Code:01969-1737
Practice Address - Country:US
Practice Address - Phone:978-948-6966
Practice Address - Fax:978-948-3402
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MACH2424111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
MAY36716OtherBLUECROSSBLUESHIELD
MA351372OtherHARVARD PILGRIM
MA468549OtherTUFTS
MA2716045OtherAETNA
MA614110OtherCIGNA
MA614110OtherCIGNA