Provider Demographics
NPI:1972655025
Name:LOVING TOUCH LLC
Entity Type:Organization
Organization Name:LOVING TOUCH LLC
Other - Org Name:WESTWOOD FAMILY CHIROPRACTIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER / TRUSTEE
Authorized Official - Prefix:DR
Authorized Official - First Name:PETER
Authorized Official - Middle Name:J
Authorized Official - Last Name:KEVORKIAN
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:781-769-2500
Mailing Address - Street 1:1446 HIGH ST
Mailing Address - Street 2:
Mailing Address - City:WESTWOOD
Mailing Address - State:MA
Mailing Address - Zip Code:02090-2743
Mailing Address - Country:US
Mailing Address - Phone:781-769-2500
Mailing Address - Fax:781-255-9727
Practice Address - Street 1:1446 HIGH ST
Practice Address - Street 2:
Practice Address - City:WESTWOOD
Practice Address - State:MA
Practice Address - Zip Code:02090-2743
Practice Address - Country:US
Practice Address - Phone:781-769-2500
Practice Address - Fax:781-255-9727
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-17
Last Update Date:2015-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA255111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MALO Y49085Medicare ID - Type UnspecifiedWFC MEDICARE GROUP