Provider Demographics
NPI:1457602815
Name:SOBEL, ELIZABETH RACHAEL (DC)
Entity Type:Individual
Prefix:DR
First Name:ELIZABETH
Middle Name:RACHAEL
Last Name:SOBEL
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:21 BRYANT ST
Mailing Address - Street 2:APT 2
Mailing Address - City:EVERETT
Mailing Address - State:MA
Mailing Address - Zip Code:02149-1708
Mailing Address - Country:US
Mailing Address - Phone:203-722-8388
Mailing Address - Fax:
Practice Address - Street 1:12 SALEM ST
Practice Address - Street 2:C/O VENEZIA DAY SPA
Practice Address - City:LYNNFIELD
Practice Address - State:MA
Practice Address - Zip Code:01940-2666
Practice Address - Country:US
Practice Address - Phone:203-722-8388
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-09-26
Last Update Date:2012-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA3394111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor