Provider Demographics
NPI:1013099506
Name:MICHEL, CHAD JOHN (DC)
Entity type:Individual
Prefix:DR
First Name:CHAD
Middle Name:JOHN
Last Name:MICHEL
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:82 NEW BOSTON RD
Mailing Address - Street 2:
Mailing Address - City:FALL RIVER
Mailing Address - State:MA
Mailing Address - Zip Code:02720-3740
Mailing Address - Country:US
Mailing Address - Phone:508-673-8883
Mailing Address - Fax:508-673-3675
Practice Address - Street 1:82 NEW BOSTON RD
Practice Address - Street 2:
Practice Address - City:FALL RIVER
Practice Address - State:MA
Practice Address - Zip Code:02720-3740
Practice Address - Country:US
Practice Address - Phone:508-673-8883
Practice Address - Fax:508-673-3675
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA2454111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA1699822OtherMASSHEALTH
RI27054-0OtherBCBS RI
MAY36743OtherBCBS
MA7872108OtherAETNA
MA1699822OtherMASSHEALTH