Provider Demographics
NPI:1700863800
Name:CAPRILE, ROBERT (DC)
Entity Type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:
Last Name:CAPRILE
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 1:181 MAPLE STREET
Mailing Address - Street 2:
Mailing Address - City:EAST LONGMEADOW
Mailing Address - State:MA
Mailing Address - Zip Code:01028-2753
Mailing Address - Country:US
Mailing Address - Phone:413-525-6293
Mailing Address - Fax:413-525-8817
Practice Address - Street 1:181 MAPLE STREET
Practice Address - Street 2:
Practice Address - City:EAST LONGMEADOW
Practice Address - State:MA
Practice Address - Zip Code:01028-2753
Practice Address - Country:US
Practice Address - Phone:413-525-6293
Practice Address - Fax:413-525-8817
Is Sole Proprietor?:Yes
Enumeration Date:2005-12-29
Last Update Date:2011-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA1630111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA16I0848Medicaid
MAY36168Medicare ID - Type Unspecified
MA16I0848Medicaid