Provider Demographics
NPI:1265599724
Name:VARGA, BRIAN EDWARD (DC)
Entity type:Individual
Prefix:
First Name:BRIAN
Middle Name:EDWARD
Last Name:VARGA
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 1:230 PLEASANT ST
Mailing Address - Street 2:B
Mailing Address - City:METHUEN
Mailing Address - State:MA
Mailing Address - Zip Code:01844-7136
Mailing Address - Country:US
Mailing Address - Phone:978-685-2001
Mailing Address - Fax:978-685-1498
Practice Address - Street 1:230 PLEASANT ST
Practice Address - Street 2:B
Practice Address - City:METHUEN
Practice Address - State:MA
Practice Address - Zip Code:01844-7136
Practice Address - Country:US
Practice Address - Phone:978-685-2001
Practice Address - Fax:978-685-1498
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA915111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
MAVAY35633Medicare ID - Type Unspecified