Provider Demographics
NPI:1841675105
Name:MCGHEE, MICHAEL JAMES (DC)
Entity type:Individual
Prefix:
First Name:MICHAEL
Middle Name:JAMES
Last Name:MCGHEE
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 1:100 SYLVAN RD STE 725
Mailing Address - Street 2:
Mailing Address - City:WOBURN
Mailing Address - State:MA
Mailing Address - Zip Code:01801-1800
Mailing Address - Country:US
Mailing Address - Phone:781-305-4308
Mailing Address - Fax:781-305-4309
Practice Address - Street 1:100 SYLVAN RD STE 725
Practice Address - Street 2:
Practice Address - City:WOBURN
Practice Address - State:MA
Practice Address - Zip Code:01801
Practice Address - Country:US
Practice Address - Phone:781-305-4308
Practice Address - Fax:781-305-4309
Is Sole Proprietor?:Yes
Enumeration Date:2015-07-28
Last Update Date:2019-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA3481111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor