Provider Demographics
NPI:1518001635
Name:ACCUOSTI CHIROPRACTIC
Entity Type:Organization
Organization Name:ACCUOSTI CHIROPRACTIC
Other - Org Name:JOAN A. ACCUOSTI, DC
Other - Org Type:Other Name
Authorized Official - Title/Position:DOCTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:JOAN
Authorized Official - Middle Name:A
Authorized Official - Last Name:ACCUOSTI
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:413-442-6764
Mailing Address - Street 1:526 SOUTH ST
Mailing Address - Street 2:
Mailing Address - City:PITTSFIELD
Mailing Address - State:MA
Mailing Address - Zip Code:01201-8210
Mailing Address - Country:US
Mailing Address - Phone:413-442-6764
Mailing Address - Fax:413-442-0934
Practice Address - Street 1:526 SOUTH ST
Practice Address - Street 2:
Practice Address - City:PITTSFIELD
Practice Address - State:MA
Practice Address - Zip Code:01201-8210
Practice Address - Country:US
Practice Address - Phone:413-442-6764
Practice Address - Fax:413-442-0934
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-20
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA879111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MAY35600Medicare ID - Type Unspecified