Provider Demographics
NPI:1760896583
Name:PIONEER VALLEY CHIROPRACTIC
Entity Type:Organization
Organization Name:PIONEER VALLEY CHIROPRACTIC
Other - Org Name:CHIROPRACTIC ASSOCIATES OF NORTHAMPTON
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:DANIEL
Authorized Official - Middle Name:JOHN
Authorized Official - Last Name:SHAVER
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:413-586-4400
Mailing Address - Street 1:41 LOCUST ST
Mailing Address - Street 2:
Mailing Address - City:NORTHAMPTON
Mailing Address - State:MA
Mailing Address - Zip Code:01060-2544
Mailing Address - Country:US
Mailing Address - Phone:413-586-4400
Mailing Address - Fax:413-584-2221
Practice Address - Street 1:41 LOCUST ST
Practice Address - Street 2:
Practice Address - City:NORTHAMPTON
Practice Address - State:MA
Practice Address - Zip Code:01060-2544
Practice Address - Country:US
Practice Address - Phone:413-586-4400
Practice Address - Fax:413-584-2221
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-06-19
Last Update Date:2019-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA3397111NS0005X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111NS0005XChiropractic ProvidersChiropractorSports PhysicianGroup - Multi-Specialty