Provider Demographics
NPI:1891981874
Name:DR. STUART L. NEIVERT P.C.
Entity Type:Organization
Organization Name:DR. STUART L. NEIVERT P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:STUART
Authorized Official - Middle Name:L
Authorized Official - Last Name:NEIVERT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:781-235-0721
Mailing Address - Street 1:332 WASHINGTON ST
Mailing Address - Street 2:SUITE 240
Mailing Address - City:WELLESLEY
Mailing Address - State:MA
Mailing Address - Zip Code:02481-6219
Mailing Address - Country:US
Mailing Address - Phone:781-235-0721
Mailing Address - Fax:781-235-0734
Practice Address - Street 1:332 WASHINGTON ST
Practice Address - Street 2:SUITE 240
Practice Address - City:WELLESLEY
Practice Address - State:MA
Practice Address - Zip Code:02481-6219
Practice Address - Country:US
Practice Address - Phone:781-235-0721
Practice Address - Fax:781-235-0734
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-09-24
Last Update Date:2008-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MACH292111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty