Provider Demographics
NPI:1841613346
Name:LIVING WELL CHIROPRACTIC, LLC
Entity Type:Organization
Organization Name:LIVING WELL CHIROPRACTIC, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:FRANCINE
Authorized Official - Middle Name:LISE
Authorized Official - Last Name:LAJOIE
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:141-363-5500
Mailing Address - Street 1:140 PLEASANT ST
Mailing Address - Street 2:
Mailing Address - City:NORTH ADAMS
Mailing Address - State:MA
Mailing Address - Zip Code:01247-4223
Mailing Address - Country:US
Mailing Address - Phone:413-663-5500
Mailing Address - Fax:413-663-5502
Practice Address - Street 1:140 PLEASANT ST
Practice Address - Street 2:
Practice Address - City:NORTH ADAMS
Practice Address - State:MA
Practice Address - Zip Code:01247-4223
Practice Address - Country:US
Practice Address - Phone:413-663-5500
Practice Address - Fax:413-663-5502
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-02-04
Last Update Date:2014-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA2480111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MAY36705OtherBC/BS INDIVIDUAL
MAY39549OtherBC/BS GROUP
MA7835161OtherATENA
MAY45324OtherPTAN MEDICARE
MA002480OtherTUFT
MA169981Medicaid
MA2046867OtherFIRST HEALTH
MA169981Medicaid