Provider Demographics
NPI:1659433852
Name:GARFINKEL, WAYNE (DC)
Entity Type:Individual
Prefix:
First Name:WAYNE
Middle Name:
Last Name:GARFINKEL
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 1:21 MOHAWK TRL
Mailing Address - Street 2:
Mailing Address - City:GREENFIELD
Mailing Address - State:MA
Mailing Address - Zip Code:01301-3206
Mailing Address - Country:US
Mailing Address - Phone:413-774-7519
Mailing Address - Fax:413-774-4765
Practice Address - Street 1:21 MOHAWK TRL
Practice Address - Street 2:
Practice Address - City:GREENFIELD
Practice Address - State:MA
Practice Address - Zip Code:01301-3206
Practice Address - Country:US
Practice Address - Phone:413-774-7519
Practice Address - Fax:413-774-4765
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-14
Last Update Date:2014-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA1358111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD000000006081OtherBMC HEALTHNET
MA606285OtherTUFTS HEALTH PLAN
MAY35956OtherBLUE CROSS BLUE SHIELD
MA1609475Medicaid
MD000000006081OtherBMC HEALTHNET