Provider Demographics
NPI:1720189947
Name:STERLING FAMILY CHIROPRACTIC P.C.
Entity Type:Organization
Organization Name:STERLING FAMILY CHIROPRACTIC P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:WALLACE
Authorized Official - Middle Name:A
Authorized Official - Last Name:HOWARD
Authorized Official - Suffix:III
Authorized Official - Credentials:DC
Authorized Official - Phone:978-422-2992
Mailing Address - Street 1:1 BEAN ROAD
Mailing Address - Street 2:
Mailing Address - City:STERLING
Mailing Address - State:MA
Mailing Address - Zip Code:01564
Mailing Address - Country:US
Mailing Address - Phone:978-422-2992
Mailing Address - Fax:
Practice Address - Street 1:1 BEAN ROAD
Practice Address - Street 2:
Practice Address - City:STERLING
Practice Address - State:MA
Practice Address - Zip Code:01564
Practice Address - Country:US
Practice Address - Phone:978-422-2992
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-26
Last Update Date:2015-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA1916111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MAY49248Medicare PIN