Provider Demographics
NPI:1063613560
Name:PALMER FAMILY SERVICES, LLC
Entity type:Organization
Organization Name:PALMER FAMILY SERVICES, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:TAMARA
Authorized Official - Middle Name:LEIGH
Authorized Official - Last Name:PALMER
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:508-478-2008
Mailing Address - Street 1:114 WATER ST
Mailing Address - Street 2:BUILDING 2
Mailing Address - City:MILFORD
Mailing Address - State:MA
Mailing Address - Zip Code:01757-3007
Mailing Address - Country:US
Mailing Address - Phone:508-478-2008
Mailing Address - Fax:508-478-0922
Practice Address - Street 1:114 WATER ST
Practice Address - Street 2:BUILDING 2
Practice Address - City:MILFORD
Practice Address - State:MA
Practice Address - Zip Code:01757-3007
Practice Address - Country:US
Practice Address - Phone:508-478-2008
Practice Address - Fax:508-478-0922
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-30
Last Update Date:2008-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA2344111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA0002457Medicare PIN