Provider Demographics
NPI:1811509490
Name:FOUNDATIONS FAMILY CHIROPRACTIC, INC.
Entity type:Organization
Organization Name:FOUNDATIONS FAMILY CHIROPRACTIC, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIROPRACTOR/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:COURTNEY
Authorized Official - Middle Name:
Authorized Official - Last Name:NEILL
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:617-645-0200
Mailing Address - Street 1:131 DODGE ST
Mailing Address - Street 2:
Mailing Address - City:BEVERLY
Mailing Address - State:MA
Mailing Address - Zip Code:01915-2048
Mailing Address - Country:US
Mailing Address - Phone:978-810-6799
Mailing Address - Fax:
Practice Address - Street 1:131 DODGE ST
Practice Address - Street 2:
Practice Address - City:BEVERLY
Practice Address - State:MA
Practice Address - Zip Code:01915-2048
Practice Address - Country:US
Practice Address - Phone:978-810-6799
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-08-17
Last Update Date:2024-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service