Provider Demographics
NPI:1497562474
Name:COMMUNITY CHIRO, PC
Entity type:Organization
Organization Name:COMMUNITY CHIRO, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:PEYTON
Authorized Official - Middle Name:JAMES
Authorized Official - Last Name:O'CONNOR
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:413-568-5530
Mailing Address - Street 1:420 UNION ST
Mailing Address - Street 2:
Mailing Address - City:WESTFIELD
Mailing Address - State:MA
Mailing Address - Zip Code:01085-2592
Mailing Address - Country:US
Mailing Address - Phone:413-568-5530
Mailing Address - Fax:413-568-0955
Practice Address - Street 1:420 UNION ST
Practice Address - Street 2:
Practice Address - City:WESTFIELD
Practice Address - State:MA
Practice Address - Zip Code:01085-2592
Practice Address - Country:US
Practice Address - Phone:413-568-5530
Practice Address - Fax:413-568-0955
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-12-13
Last Update Date:2024-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty