Provider Demographics
NPI:1548425820
Name:WELT CHIROPRACTIC P.C.
Entity Type:Organization
Organization Name:WELT CHIROPRACTIC P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:HUBERT
Authorized Official - Middle Name:VALIDO
Authorized Official - Last Name:WELT
Authorized Official - Suffix:
Authorized Official - Credentials:DC, DACO
Authorized Official - Phone:647-312-5110
Mailing Address - Street 1:74 TAUNTON ST STE 102
Mailing Address - Street 2:
Mailing Address - City:PLAINVILLE
Mailing Address - State:MA
Mailing Address - Zip Code:02762-2166
Mailing Address - Country:US
Mailing Address - Phone:508-643-0106
Mailing Address - Fax:508-643-0107
Practice Address - Street 1:74 TAUNTON ST STE 102
Practice Address - Street 2:
Practice Address - City:PLAINVILLE
Practice Address - State:MA
Practice Address - Zip Code:02762-2166
Practice Address - Country:US
Practice Address - Phone:508-643-0106
Practice Address - Fax:508-643-0107
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-07-25
Last Update Date:2022-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA2601111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MAY45449Medicare PIN