Provider Demographics
NPI:1508898933
Name:BACHINSKY, LARYSA (DC)
Entity Type:Individual
Prefix:
First Name:LARYSA
Middle Name:
Last Name:BACHINSKY
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 1:7 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:FLORENCE
Mailing Address - State:MA
Mailing Address - Zip Code:01062
Mailing Address - Country:US
Mailing Address - Phone:413-586-4458
Mailing Address - Fax:413-586-9000
Practice Address - Street 1:7 MAIN ST
Practice Address - Street 2:
Practice Address - City:FLORENCE
Practice Address - State:MA
Practice Address - Zip Code:01062
Practice Address - Country:US
Practice Address - Phone:413-586-4458
Practice Address - Fax:413-586-9000
Is Sole Proprietor?:No
Enumeration Date:2006-07-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA700MA111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA351101OtherHARVARD PILGRIM
MAY39298OtherBCBS
MA606125OtherACN
MA735798OtherTUFTS
MA351101OtherHARVARD PILGRIM