Provider Demographics
NPI:1881625119
Name:MASLAR, JOHN E (DC)
Entity type:Individual
Prefix:DR
First Name:JOHN
Middle Name:E
Last Name:MASLAR
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 1:32 MAPLE MEADOWS LN
Mailing Address - Street 2:
Mailing Address - City:AGAWAM
Mailing Address - State:MA
Mailing Address - Zip Code:01001-2472
Mailing Address - Country:US
Mailing Address - Phone:413-736-5491
Mailing Address - Fax:413-746-4632
Practice Address - Street 1:868 MAIN ST
Practice Address - Street 2:
Practice Address - City:SPRINGFIELD
Practice Address - State:MA
Practice Address - Zip Code:01103
Practice Address - Country:US
Practice Address - Phone:413-736-5491
Practice Address - Fax:413-746-4632
Is Sole Proprietor?:No
Enumeration Date:2006-07-05
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA233111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA101245OtherCIGNA
MA1603892Medicaid
MAY35043Medicare ID - Type UnspecifiedMEDICARE
MAT57966Medicare UPIN