Provider Demographics
NPI:1942518543
Name:HEWITT HEALTH HOLDINGS LLC
Entity Type:Organization
Organization Name:HEWITT HEALTH HOLDINGS LLC
Other - Org Name:MERRIMACK VALLEY FAMILY CHIROPRACTIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:RYAN
Authorized Official - Middle Name:J
Authorized Official - Last Name:HEWITT
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:978-655-4979
Mailing Address - Street 1:800 TURNPIKE ST
Mailing Address - Street 2:SUITE 104
Mailing Address - City:NORTH ANDOVER
Mailing Address - State:MA
Mailing Address - Zip Code:01845-6156
Mailing Address - Country:US
Mailing Address - Phone:978-655-4979
Mailing Address - Fax:978-655-4999
Practice Address - Street 1:800 TURNPIKE ST
Practice Address - Street 2:SUITE 104
Practice Address - City:NORTH ANDOVER
Practice Address - State:MA
Practice Address - Zip Code:01845-6156
Practice Address - Country:US
Practice Address - Phone:978-655-4979
Practice Address - Fax:978-655-4999
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-09-16
Last Update Date:2012-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA3193111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty