Provider Demographics
NPI:1609842798
Name:O'BRIEN, NEIL PATRICK (DC)
Entity Type:Individual
Prefix:DR
First Name:NEIL
Middle Name:PATRICK
Last Name:O'BRIEN
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
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Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4650 ROUTE 28
Mailing Address - Street 2:
Mailing Address - City:COTUIT
Mailing Address - State:MA
Mailing Address - Zip Code:02635-2534
Mailing Address - Country:US
Mailing Address - Phone:508-428-9441
Mailing Address - Fax:508-428-9750
Practice Address - Street 1:4650 ROUTE 28
Practice Address - Street 2:
Practice Address - City:COTUIT
Practice Address - State:MA
Practice Address - Zip Code:02635-2534
Practice Address - Country:US
Practice Address - Phone:508-428-9441
Practice Address - Fax:508-428-9750
Is Sole Proprietor?:Yes
Enumeration Date:2006-02-27
Last Update Date:2015-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA2357111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA061735727OtherUNITED HEALTHCARE AND GIC
MA110077935AMedicaid
MA3685851OtherAETNA HEALTHCARE
MAY36934OtherBLUE CROSS BLUE SHIELD
MA352512OtherHARVARD PILGRIM
MA9399297OtherPHCS
MA460228OtherTUFTS
MA352512OtherHARVARD PILGRIM
MA061735727OtherUNITED HEALTHCARE AND GIC