Provider Demographics
NPI:1497097901
Name:DENARO CHIROPRACTIC, LLC
Entity Type:Organization
Organization Name:DENARO CHIROPRACTIC, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ABBEY
Authorized Official - Middle Name:
Authorized Official - Last Name:DENARO
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:978-664-1500
Mailing Address - Street 1:286 PARK ST
Mailing Address - Street 2:SUITE 7
Mailing Address - City:NORTH READING
Mailing Address - State:MA
Mailing Address - Zip Code:01864-2729
Mailing Address - Country:US
Mailing Address - Phone:978-664-1500
Mailing Address - Fax:978-664-1258
Practice Address - Street 1:286 PARK ST
Practice Address - Street 2:SUITE 7
Practice Address - City:NORTH READING
Practice Address - State:MA
Practice Address - Zip Code:01864-2729
Practice Address - Country:US
Practice Address - Phone:978-664-1500
Practice Address - Fax:978-664-1258
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-03-22
Last Update Date:2014-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA3413111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA0031917Medicare PIN