Provider Demographics
NPI:1922330331
Name:SAUGUS FAMILY CHIROPRACTIC AND WELLNESS, INC
Entity Type:Organization
Organization Name:SAUGUS FAMILY CHIROPRACTIC AND WELLNESS, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ADAM
Authorized Official - Middle Name:E
Authorized Official - Last Name:KILLPARTRICK
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:772-321-3516
Mailing Address - Street 1:194 CENTRAL ST
Mailing Address - Street 2:
Mailing Address - City:SAUGUS
Mailing Address - State:MA
Mailing Address - Zip Code:01906-2107
Mailing Address - Country:US
Mailing Address - Phone:781-233-2016
Mailing Address - Fax:781-233-0959
Practice Address - Street 1:194 CENTRAL ST
Practice Address - Street 2:
Practice Address - City:SAUGUS
Practice Address - State:MA
Practice Address - Zip Code:01906-2107
Practice Address - Country:US
Practice Address - Phone:781-233-2016
Practice Address - Fax:781-233-0959
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-02-10
Last Update Date:2010-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA03264111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty