Provider Demographics
NPI:1720546252
Name:WEYMOUTH CHIROPRACTIC AND WELLNESS CENTER LLC
Entity Type:Organization
Organization Name:WEYMOUTH CHIROPRACTIC AND WELLNESS CENTER LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:SCOTT
Authorized Official - Middle Name:J
Authorized Official - Last Name:ROSNER
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:631-796-6776
Mailing Address - Street 1:1221 MAIN ST STE 302
Mailing Address - Street 2:
Mailing Address - City:WEYMOUTH
Mailing Address - State:MA
Mailing Address - Zip Code:02190-1562
Mailing Address - Country:US
Mailing Address - Phone:781-386-0070
Mailing Address - Fax:
Practice Address - Street 1:1221 MAIN ST STE 302
Practice Address - Street 2:
Practice Address - City:WEYMOUTH
Practice Address - State:MA
Practice Address - Zip Code:02190-1562
Practice Address - Country:US
Practice Address - Phone:781-386-0070
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-03-04
Last Update Date:2019-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty