Provider Demographics
NPI:1508857434
Name:TRANBERG, DEBRA M (DC)
Entity Type:Individual
Prefix:
First Name:DEBRA
Middle Name:M
Last Name:TRANBERG
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:76A FRONT ST
Mailing Address - Street 2:STE 21
Mailing Address - City:SCITUATE
Mailing Address - State:MA
Mailing Address - Zip Code:02066
Mailing Address - Country:US
Mailing Address - Phone:781-545-7388
Mailing Address - Fax:781-545-6552
Practice Address - Street 1:76A FRONT ST
Practice Address - Street 2:STE 21
Practice Address - City:SCITUATE
Practice Address - State:MA
Practice Address - Zip Code:02066
Practice Address - Country:US
Practice Address - Phone:781-545-7388
Practice Address - Fax:781-545-6552
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-10-31
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA998111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
Y39196Medicare UPIN
MAY35871Medicare ID - Type Unspecified