Provider Demographics
NPI:1508955915
Name:PAGE ENTERPRISES INC
Entity Type:Organization
Organization Name:PAGE ENTERPRISES INC
Other - Org Name:PAGE CHIROPRACTIC HEALTH CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:BUSINESS MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:BRENDA
Authorized Official - Middle Name:W
Authorized Official - Last Name:PAGE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:508-943-8895
Mailing Address - Street 1:27 E MAIN ST
Mailing Address - Street 2:PO BOX 1187
Mailing Address - City:WEBSTER
Mailing Address - State:MA
Mailing Address - Zip Code:01570-2310
Mailing Address - Country:US
Mailing Address - Phone:508-943-8895
Mailing Address - Fax:508-949-2187
Practice Address - Street 1:27 E MAIN ST
Practice Address - Street 2:
Practice Address - City:WEBSTER
Practice Address - State:MA
Practice Address - Zip Code:01570-2310
Practice Address - Country:US
Practice Address - Phone:508-943-8895
Practice Address - Fax:508-949-2187
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-12
Last Update Date:2010-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA2305111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA0004267OtherMEDICARE PTAN
MAU64614Medicare UPIN