Provider Demographics
NPI:1508910712
Name:ENGLANDER, NINA E (DC)
Entity Type:Individual
Prefix:
First Name:NINA
Middle Name:E
Last Name:ENGLANDER
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 1:244 BEDFORD ST
Mailing Address - Street 2:
Mailing Address - City:LEXINGTON
Mailing Address - State:MA
Mailing Address - Zip Code:02420-3402
Mailing Address - Country:US
Mailing Address - Phone:781-274-6462
Mailing Address - Fax:
Practice Address - Street 1:244 BEDFORD ST
Practice Address - Street 2:
Practice Address - City:LEXINGTON
Practice Address - State:MA
Practice Address - Zip Code:02420-3402
Practice Address - Country:US
Practice Address - Phone:781-274-6462
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-23
Last Update Date:2008-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MACH2363111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA616972OtherTUFTS
MAY36926OtherBLUE CROSS BLUE SHIELD
MAAA28780OtherHARVARD PILGRIM HEATHCARE
MAAA28780OtherHARVARD PILGRIM HEATHCARE
MAY36926OtherBLUE CROSS BLUE SHIELD