Provider Demographics
NPI:1558395293
Name:LEVESQUE, NORMAN CHARLES (DC)
Entity Type:Individual
Prefix:DR
First Name:NORMAN
Middle Name:CHARLES
Last Name:LEVESQUE
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:916 BELMONT AVE
Mailing Address - Street 2:
Mailing Address - City:SPRINGFIELD
Mailing Address - State:MA
Mailing Address - Zip Code:01108-2447
Mailing Address - Country:US
Mailing Address - Phone:413-737-9000
Mailing Address - Fax:413-788-9229
Practice Address - Street 1:916 BELMONT AVENUE
Practice Address - Street 2:
Practice Address - City:SPRINGFIELD
Practice Address - State:MA
Practice Address - Zip Code:01108-2447
Practice Address - Country:US
Practice Address - Phone:413-737-9000
Practice Address - Fax:413-788-9229
Is Sole Proprietor?:No
Enumeration Date:2006-07-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA590111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
3817407OtherCIGNA
MAY35403OtherBS
MA1602748Medicaid
Y35403Medicare ID - Type Unspecified
MA1602748Medicaid