Provider Demographics
NPI:1790795037
Name:NORRIS, COLLEEN MARIE (DC)
Entity Type:Individual
Prefix:DR
First Name:COLLEEN
Middle Name:MARIE
Last Name:NORRIS
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:76 NEWBURYPORT TPKE
Mailing Address - Street 2:
Mailing Address - City:NEWBURY
Mailing Address - State:MA
Mailing Address - Zip Code:01951-1115
Mailing Address - Country:US
Mailing Address - Phone:978-257-5321
Mailing Address - Fax:
Practice Address - Street 1:76 NEWBURYPORT TPKE
Practice Address - Street 2:
Practice Address - City:NEWBURY
Practice Address - State:MA
Practice Address - Zip Code:01951-1115
Practice Address - Country:US
Practice Address - Phone:978-257-5321
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-09
Last Update Date:2023-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA2864111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA1073709OtherAETNA
MAAA43594OtherHARVARD PILGRIM
MAY37089OtherBCBS
MAAA43594OtherHARVARD PILGRIM
MAY45684Medicare ID - Type Unspecified