Provider Demographics
NPI:1609886951
Name:SUCHECKI CHIROPRACTIC P.C.
Entity Type:Organization
Organization Name:SUCHECKI CHIROPRACTIC P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:COLLEEN
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:SUCHECKI
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:978-499-4800
Mailing Address - Street 1:141 BRIDGE RD
Mailing Address - Street 2:SUITE 101
Mailing Address - City:SALISBURY
Mailing Address - State:MA
Mailing Address - Zip Code:01952-2422
Mailing Address - Country:US
Mailing Address - Phone:978-499-4800
Mailing Address - Fax:978-499-4801
Practice Address - Street 1:141 BRIDGE RD
Practice Address - Street 2:SUITE 101
Practice Address - City:SALISBURY
Practice Address - State:MA
Practice Address - Zip Code:01952-2422
Practice Address - Country:US
Practice Address - Phone:978-499-4800
Practice Address - Fax:978-499-4801
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-09
Last Update Date:2013-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA188111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MAY39906OtherBCBS
MAY45805Medicare PIN
MAY49208Medicare ID - Type Unspecified