Provider Demographics
NPI:1558568923
Name:MARGIL FAMILY CHIROPRACTIC, P.C.
Entity Type:Organization
Organization Name:MARGIL FAMILY CHIROPRACTIC, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:J
Authorized Official - Last Name:MARGIL
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:781-235-6600
Mailing Address - Street 1:332 WASHINGTON STREET
Mailing Address - Street 2:SUITE 360
Mailing Address - City:WELLESLEY HILLS
Mailing Address - State:MA
Mailing Address - Zip Code:02481-6204
Mailing Address - Country:US
Mailing Address - Phone:781-235-6600
Mailing Address - Fax:781-235-6700
Practice Address - Street 1:332 WASHINGTON STREET
Practice Address - Street 2:SUITE 360
Practice Address - City:WELLESLEY HILLS
Practice Address - State:MA
Practice Address - Zip Code:02481-6204
Practice Address - Country:US
Practice Address - Phone:781-235-6600
Practice Address - Fax:781-235-6700
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-29
Last Update Date:2009-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MAMA 1828111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA1612964Medicaid
MA110030460AMedicaid
MA1612964Medicaid