Provider Demographics
NPI:1679546840
Name:REES, LOREN M (DC)
Entity Type:Individual
Prefix:DR
First Name:LOREN
Middle Name:M
Last Name:REES
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 1:19 BAY RIDGE RD
Mailing Address - Street 2:
Mailing Address - City:SCITUATE
Mailing Address - State:MA
Mailing Address - Zip Code:02066-3501
Mailing Address - Country:US
Mailing Address - Phone:781-545-6115
Mailing Address - Fax:
Practice Address - Street 1:185 LINCOLN ST
Practice Address - Street 2:#110
Practice Address - City:HINGHAM
Practice Address - State:MA
Practice Address - Zip Code:02043-1760
Practice Address - Country:US
Practice Address - Phone:781-741-5300
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-02-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA3059111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
MAV08534Medicare UPIN
MAY45833Medicare ID - Type Unspecified