Provider Demographics
NPI:1205810595
Name:BARASSI, JAMES PAUL (DC)
Entity type:Individual
Prefix:DR
First Name:JAMES
Middle Name:PAUL
Last Name:BARASSI
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:435 LANCASTER ST
Mailing Address - Street 2:SUITE 214
Mailing Address - City:LEOMINSTER
Mailing Address - State:MA
Mailing Address - Zip Code:01453-4397
Mailing Address - Country:US
Mailing Address - Phone:978-728-3001
Mailing Address - Fax:978-728-3001
Practice Address - Street 1:435 LANCASTER ST
Practice Address - Street 2:SUITE 214
Practice Address - City:LEOMINSTER
Practice Address - State:MA
Practice Address - Zip Code:01453-4397
Practice Address - Country:US
Practice Address - Phone:978-728-3001
Practice Address - Fax:978-728-3001
Is Sole Proprietor?:Yes
Enumeration Date:2005-12-01
Last Update Date:2015-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MACH1621111NS0005X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NS0005XChiropractic ProvidersChiropractorSports Physician
Provider Identifiers
StateIdentifier IDID TypeIssuer
MAY36130Medicare PIN
MAU27130Medicare UPIN