Provider Demographics
NPI:1063569705
Name:MARY S. TRUEX, D.C.
Entity type:Organization
Organization Name:MARY S. TRUEX, D.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROPRIETOR
Authorized Official - Prefix:DR
Authorized Official - First Name:MARY
Authorized Official - Middle Name:S
Authorized Official - Last Name:TRUEX
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:508-746-8701
Mailing Address - Street 1:PO BOX 1225
Mailing Address - Street 2:
Mailing Address - City:PLYMOUTH
Mailing Address - State:MA
Mailing Address - Zip Code:02362-1225
Mailing Address - Country:US
Mailing Address - Phone:508-746-8701
Mailing Address - Fax:508-746-8873
Practice Address - Street 1:11 RUSSELL ST
Practice Address - Street 2:SUITE 1
Practice Address - City:PLYMOUTH
Practice Address - State:MA
Practice Address - Zip Code:02360-3995
Practice Address - Country:US
Practice Address - Phone:508-746-8701
Practice Address - Fax:508-746-8873
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-04
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MACH259111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty