Provider Demographics
NPI:1932268851
Name:COFOND, DON (DC, CCSP, FAKTR)
Entity Type:Individual
Prefix:DR
First Name:DON
Middle Name:
Last Name:COFOND
Suffix:
Gender:M
Credentials:DC, CCSP, FAKTR
Other - Prefix:DR
Other - First Name:DON
Other - Middle Name:
Other - Last Name:COHEN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DC, CCSP, FAKTR
Mailing Address - Street 1:345 W CENTRAL ST
Mailing Address - Street 2:
Mailing Address - City:FRANKLIN
Mailing Address - State:MA
Mailing Address - Zip Code:02038-1833
Mailing Address - Country:US
Mailing Address - Phone:508-455-4600
Mailing Address - Fax:508-302-6468
Practice Address - Street 1:168 SOUTH ST UNIT 4
Practice Address - Street 2:
Practice Address - City:PLAINVILLE
Practice Address - State:MA
Practice Address - Zip Code:02762-1957
Practice Address - Country:US
Practice Address - Phone:508-455-4500
Practice Address - Fax:508-455-4600
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-06
Last Update Date:2022-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MACH1972111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
MAY405002Medicare PIN
MAU60776Medicare UPIN