Provider Demographics
NPI:1497805212
Name:WESTFORD FAMILY CHIROPRACTIC
Entity Type:Organization
Organization Name:WESTFORD FAMILY CHIROPRACTIC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:JOSEPH
Authorized Official - Last Name:LEIGH
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:978-692-4476
Mailing Address - Street 1:288 LITTLETON RD
Mailing Address - Street 2:SUITE 3
Mailing Address - City:WESTFORD
Mailing Address - State:MA
Mailing Address - Zip Code:01886-3536
Mailing Address - Country:US
Mailing Address - Phone:978-692-4476
Mailing Address - Fax:978-692-2134
Practice Address - Street 1:288 LITTLETON RD
Practice Address - Street 2:SUITE 3
Practice Address - City:WESTFORD
Practice Address - State:MA
Practice Address - Zip Code:01886-3536
Practice Address - Country:US
Practice Address - Phone:978-692-4476
Practice Address - Fax:978-692-2134
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-12
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA1750111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MAY36226Medicare ID - Type Unspecified
MAU06279Medicare UPIN