Provider Demographics
NPI:1922075795
Name:FISCHER, KARL BEAU JR (DC)
Entity Type:Individual
Prefix:DR
First Name:KARL
Middle Name:BEAU
Last Name:FISCHER
Suffix:JR
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:6 BOSTON RD
Mailing Address - Street 2:SUITE 107
Mailing Address - City:CHELMSFORD
Mailing Address - State:MA
Mailing Address - Zip Code:01824-3073
Mailing Address - Country:US
Mailing Address - Phone:978-250-1500
Mailing Address - Fax:978-250-1500
Practice Address - Street 1:6 BOSTON RD
Practice Address - Street 2:SUITE 107
Practice Address - City:CHELMSFORD
Practice Address - State:MA
Practice Address - Zip Code:01824-3073
Practice Address - Country:US
Practice Address - Phone:978-250-1500
Practice Address - Fax:978-250-1500
Is Sole Proprietor?:No
Enumeration Date:2006-03-01
Last Update Date:2014-02-10
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MA1356111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA1609696Medicaid
MAY35960OtherBLUE CROSS BLUE SHIELD
NH168991OtherHEALTHSOURCE OF NH
MA4400234OtherUNITED HEALTHCARE
MA720557OtherTUFTS MEDICARE PREFERRED
7250557OtherTUFTS
MA350054567OtherRAILROAD MEDICARE
35273OtherHARVARD PILGRIM HEALTHCAR
MA87726OtherAETNA
MAB20317101OtherCIGNA
35273OtherHARVARD PILGRIM HEALTHCAR
MA350054567OtherRAILROAD MEDICARE