Provider Demographics
NPI:1649612888
Name:TAPANAINEN CHIROPRACTIC CENTER
Entity type:Organization
Organization Name:TAPANAINEN CHIROPRACTIC CENTER
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:MIKA
Authorized Official - Middle Name:JUHANI
Authorized Official - Last Name:TAPANAINEN
Authorized Official - Suffix:
Authorized Official - Credentials:CHIROPRACTOR (DC)
Authorized Official - Phone:781-772-1437
Mailing Address - Street 1:422 WORCESTER ST
Mailing Address - Street 2:SUITE 302
Mailing Address - City:WELLESLEY HILLS
Mailing Address - State:MA
Mailing Address - Zip Code:02481-5341
Mailing Address - Country:US
Mailing Address - Phone:781-772-1437
Mailing Address - Fax:781-772-1438
Practice Address - Street 1:422 WORCESTER ST
Practice Address - Street 2:SUITE 302
Practice Address - City:WELLESLEY HILLS
Practice Address - State:MA
Practice Address - Zip Code:02481-5341
Practice Address - Country:US
Practice Address - Phone:781-772-1437
Practice Address - Fax:781-772-1438
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-07-29
Last Update Date:2013-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MACH2875111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MAY4570101Medicare PIN