Provider Demographics
NPI:1205054798
Name:CHELMSFORD FAMILY CHIROPRACTIC P.C.
Entity type:Organization
Organization Name:CHELMSFORD FAMILY CHIROPRACTIC P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JILL
Authorized Official - Middle Name:
Authorized Official - Last Name:TAYS
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:978-250-8842
Mailing Address - Street 1:290 LITTLETON RD UNIT 7
Mailing Address - Street 2:
Mailing Address - City:CHELMSFORD
Mailing Address - State:MA
Mailing Address - Zip Code:01824-3429
Mailing Address - Country:US
Mailing Address - Phone:978-250-8842
Mailing Address - Fax:978-250-8849
Practice Address - Street 1:290 LITTLETON RD UNIT 7
Practice Address - Street 2:
Practice Address - City:CHELMSFORD
Practice Address - State:MA
Practice Address - Zip Code:01824-3429
Practice Address - Country:US
Practice Address - Phone:978-250-8842
Practice Address - Fax:978-250-8849
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-23
Last Update Date:2024-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA1849111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA755319OtherTUFTS
MAY39252OtherBLUE CROSS
MA755319OtherTUFTS
MAY36335Medicare ID - Type Unspecified