Provider Demographics
NPI:1790108231
Name:BARONE FAMILY CHIROPRACTIC LLC
Entity Type:Organization
Organization Name:BARONE FAMILY CHIROPRACTIC LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ALISON
Authorized Official - Middle Name:
Authorized Official - Last Name:BARONE
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:508-481-1855
Mailing Address - Street 1:100 GRANGER BLVD
Mailing Address - Street 2:SUITE 102
Mailing Address - City:MARLBOROUGH
Mailing Address - State:MA
Mailing Address - Zip Code:01752-2847
Mailing Address - Country:US
Mailing Address - Phone:508-481-1855
Mailing Address - Fax:508-481-1840
Practice Address - Street 1:100 GRANGER BLVD
Practice Address - Street 2:SUITE 102
Practice Address - City:MARLBOROUGH
Practice Address - State:MA
Practice Address - Zip Code:01752-2847
Practice Address - Country:US
Practice Address - Phone:508-481-1855
Practice Address - Fax:508-481-1840
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-02-03
Last Update Date:2014-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty