Provider Demographics
NPI:1558580605
Name:DUGUAY, SETH ALAN (DC)
Entity Type:Individual
Prefix:
First Name:SETH
Middle Name:ALAN
Last Name:DUGUAY
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 1:86 COTUIT RD
Mailing Address - Street 2:
Mailing Address - City:MARSTONS MILLS
Mailing Address - State:MA
Mailing Address - Zip Code:02648-1836
Mailing Address - Country:US
Mailing Address - Phone:508-420-3660
Mailing Address - Fax:
Practice Address - Street 1:86 COTUIT RD
Practice Address - Street 2:
Practice Address - City:MARSTONS MILLS
Practice Address - State:MA
Practice Address - Zip Code:02648-1836
Practice Address - Country:US
Practice Address - Phone:508-420-3660
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-25
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA1573111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
MAU08332Medicare UPIN