Provider Demographics
NPI:1295899870
Name:CAPPILLO, NOEL SPAHR (DC)
Entity type:Individual
Prefix:DR
First Name:NOEL
Middle Name:SPAHR
Last Name:CAPPILLO
Suffix:
Gender:F
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 1:148 LINDEN ST
Mailing Address - Street 2:SUITE 101
Mailing Address - City:WELLESLEY
Mailing Address - State:MA
Mailing Address - Zip Code:02482-7900
Mailing Address - Country:US
Mailing Address - Phone:781-237-5118
Mailing Address - Fax:781-416-1836
Practice Address - Street 1:148 LINDEN ST
Practice Address - Street 2:SUITE 101
Practice Address - City:WELLESLEY
Practice Address - State:MA
Practice Address - Zip Code:02482-7900
Practice Address - Country:US
Practice Address - Phone:781-237-5118
Practice Address - Fax:781-416-1836
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA2600111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
MAY36905OtherBCBS
MA352292OtherHARVARD PILGRIM HEALTH C.
MA468969OtherTUFTS HEALTH CARE
MAY36905OtherBCBS