Provider Demographics
NPI:1831245208
Name:GEARY, LEAH PARENT (DC)
Entity type:Individual
Prefix:DR
First Name:LEAH
Middle Name:PARENT
Last Name:GEARY
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 1:1540 BRIDGE STREET
Mailing Address - Street 2:
Mailing Address - City:DRACUT
Mailing Address - State:MA
Mailing Address - Zip Code:01826-2611
Mailing Address - Country:US
Mailing Address - Phone:978-454-4300
Mailing Address - Fax:978-454-8277
Practice Address - Street 1:1540 BRIDGE STREET
Practice Address - Street 2:
Practice Address - City:DRACUT
Practice Address - State:MA
Practice Address - Zip Code:01826-2611
Practice Address - Country:US
Practice Address - Phone:978-454-4300
Practice Address - Fax:978-454-8277
Is Sole Proprietor?:No
Enumeration Date:2007-01-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA1901111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
607462OtherTUFTS NON PART
MA350014OtherHARVARD PILGRIM
MAY36356OtherBCBS
MAY36356OtherBCBS
U55053Medicare UPIN