Provider Demographics
NPI:1568512218
Name:PERRAS, MICHAEL RICHARD (DC)
Entity Type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:RICHARD
Last Name:PERRAS
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 1:681 FALMOUTH RD
Mailing Address - Street 2:UNIT B21
Mailing Address - City:MASHPEE
Mailing Address - State:MA
Mailing Address - Zip Code:02649-3327
Mailing Address - Country:US
Mailing Address - Phone:508-477-6900
Mailing Address - Fax:508-477-7900
Practice Address - Street 1:681 FALMOUTH RD
Practice Address - Street 2:UNIT B21
Practice Address - City:MASHPEE
Practice Address - State:MA
Practice Address - Zip Code:02649-3327
Practice Address - Country:US
Practice Address - Phone:508-477-6900
Practice Address - Fax:508-477-7900
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-12
Last Update Date:2015-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY5395111N00000X
MA1307111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor