Provider Demographics
NPI:1538124185
Name:BLAIR CHIROPRACTIC OFFICES, INC.
Entity Type:Organization
Organization Name:BLAIR CHIROPRACTIC OFFICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:F.
Authorized Official - Middle Name:MICHAEL
Authorized Official - Last Name:BLAIR
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:781-749-3365
Mailing Address - Street 1:73 SUMMER ST
Mailing Address - Street 2:
Mailing Address - City:HINGHAM
Mailing Address - State:MA
Mailing Address - Zip Code:02043-1963
Mailing Address - Country:US
Mailing Address - Phone:781-749-3365
Mailing Address - Fax:781-749-6262
Practice Address - Street 1:73 SUMMER ST
Practice Address - Street 2:
Practice Address - City:HINGHAM
Practice Address - State:MA
Practice Address - Zip Code:02043-1963
Practice Address - Country:US
Practice Address - Phone:781-749-3365
Practice Address - Fax:781-749-6262
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-04-18
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA426111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MABLY39335OtherBLUE CROSS BLUE SHIELD