Provider Demographics
NPI:1821130055
Name:FAMILY CHIROPRACTIC CENTER, INC
Entity Type:Organization
Organization Name:FAMILY CHIROPRACTIC CENTER, INC
Other - Org Name:DBA BUTTONWOOD PHYSICAL THERAPY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:K
Authorized Official - Last Name:HOROWITZ
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:508-991-4494
Mailing Address - Street 1:988 KEMPTON STREET
Mailing Address - Street 2:
Mailing Address - City:NEW BEDFORD
Mailing Address - State:MA
Mailing Address - Zip Code:02740
Mailing Address - Country:US
Mailing Address - Phone:508-991-4494
Mailing Address - Fax:508-993-4150
Practice Address - Street 1:988 KEMPTON ST
Practice Address - Street 2:
Practice Address - City:NEW BEDFORD
Practice Address - State:MA
Practice Address - Zip Code:02740-1524
Practice Address - Country:US
Practice Address - Phone:508-991-4494
Practice Address - Fax:508-993-4150
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-13
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA733661OtherTUFTS HEALTH PLAN
MA37205OtherHARVARD PILGRIM HEALTH CA
MA0367478Medicaid
MA6400052OtherUNIRTED HEALTH CARE
MA0367478Medicaid