Provider Demographics
NPI:1821154329
Name:HARVARD CHIROPRACTIC, P.C.
Entity Type:Organization
Organization Name:HARVARD CHIROPRACTIC, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:TERRY
Authorized Official - Middle Name:EDWARD
Authorized Official - Last Name:ANELONS
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:978-772-6141
Mailing Address - Street 1:257 AYER RD
Mailing Address - Street 2:
Mailing Address - City:HARVARD
Mailing Address - State:MA
Mailing Address - Zip Code:01451-1108
Mailing Address - Country:US
Mailing Address - Phone:978-772-6141
Mailing Address - Fax:978-772-3996
Practice Address - Street 1:257 AYER RD
Practice Address - Street 2:
Practice Address - City:HARVARD
Practice Address - State:MA
Practice Address - Zip Code:01451-1108
Practice Address - Country:US
Practice Address - Phone:978-772-6141
Practice Address - Fax:978-772-3996
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-29
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA1274261Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center
Provider Identifiers
StateIdentifier IDID TypeIssuer
MAY39694OtherBLUE CROSS
MA649509OtherTUFTS
MAY39694OtherBLUE CROSS