Provider Demographics
NPI:1184944464
Name:FRANCIS P. DEFALCO, PC
Entity type:Organization
Organization Name:FRANCIS P. DEFALCO, PC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:FRANCIS
Authorized Official - Middle Name:PAUL
Authorized Official - Last Name:DEFALCO
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:508-648-7877
Mailing Address - Street 1:456 MAIN ST STE B
Mailing Address - Street 2:
Mailing Address - City:HOLDEN
Mailing Address - State:MA
Mailing Address - Zip Code:01520-3708
Mailing Address - Country:US
Mailing Address - Phone:508-648-7877
Mailing Address - Fax:
Practice Address - Street 1:456 MAIN ST STE B
Practice Address - Street 2:
Practice Address - City:HOLDEN
Practice Address - State:MA
Practice Address - Zip Code:01520-3708
Practice Address - Country:US
Practice Address - Phone:508-648-7877
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-06-09
Last Update Date:2010-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA2466111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
2023086OtherUNITED HEALTH CARE
11167727OtherCAQH
RI29893-7OtherBCBS
MA407379OtherBLUE CHIP
MAAA84266OtherHARVARD PILGRIM
MAY45328OtherMEDICARE
MA1107594OtherFALLON
646535OtherOPTUM HEALTH
MA2466OtherSTATE LICENSE
613154901OtherDEPARTMENT OF LABOR
MA9537032OtherCIGNA
MAY36707OtherBCBS
1538181896OtherNPI
MA2567760OtherAETNA- HMO
MA7346087OtherAETNA
MA407379OtherBLUE CHIP