Provider Demographics
NPI:1336228154
Name:CHAPNICK, SANFORD NEIL (DC)
Entity Type:Individual
Prefix:DR
First Name:SANFORD
Middle Name:NEIL
Last Name:CHAPNICK
Suffix:
Gender:M
Credentials:DC
Other - Prefix:DR
Other - First Name:SANFORD
Other - Middle Name:N
Other - Last Name:CHAPNICK
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:DC
Mailing Address - Street 1:25 BRIDGE ST
Mailing Address - Street 2:
Mailing Address - City:BILLERICA
Mailing Address - State:MA
Mailing Address - Zip Code:01821-1023
Mailing Address - Country:US
Mailing Address - Phone:978-667-1932
Mailing Address - Fax:
Practice Address - Street 1:25 BRIDGE ST
Practice Address - Street 2:
Practice Address - City:BILLERICA
Practice Address - State:MA
Practice Address - Zip Code:01821-1023
Practice Address - Country:US
Practice Address - Phone:978-667-1932
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-11-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA1112111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA351053OtherFIRST SENIORITY
MA730543OtherTUFTS
MA351053OtherHARVARD PILGRIM
MA730543OtherSECURE HORIZONS
MAY35762OtherBLUE CROSS/BLUE SHIELD
MAY35762Medicare ID - Type UnspecifiedMEDICARE
MAT91206Medicare UPIN