Provider Demographics
NPI:1972723435
Name:SARRO CHIROPRACTIC CENTER
Entity Type:Organization
Organization Name:SARRO CHIROPRACTIC CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER DOCTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:JACK
Authorized Official - Middle Name:FRANCIS
Authorized Official - Last Name:SARRO
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:781-829-9300
Mailing Address - Street 1:198 COLUMBIA RD
Mailing Address - Street 2:
Mailing Address - City:HANOVER
Mailing Address - State:MA
Mailing Address - Zip Code:02339-2380
Mailing Address - Country:US
Mailing Address - Phone:781-829-9300
Mailing Address - Fax:
Practice Address - Street 1:198 COLUMBIA RD
Practice Address - Street 2:
Practice Address - City:HANOVER
Practice Address - State:MA
Practice Address - Zip Code:02339-2380
Practice Address - Country:US
Practice Address - Phone:781-829-9300
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-26
Last Update Date:2009-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MACH2385111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MAY45355Medicare ID - Type Unspecified
MAU80721Medicare UPIN