Provider Demographics
NPI:1154542322
Name:BROX, NANCY (DC)
Entity type:Individual
Prefix:DR
First Name:NANCY
Middle Name:
Last Name:BROX
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:95 MAIN ST
Mailing Address - Street 2:SUITE 2
Mailing Address - City:READING
Mailing Address - State:MA
Mailing Address - Zip Code:01867-3965
Mailing Address - Country:US
Mailing Address - Phone:781-205-4138
Mailing Address - Fax:781-205-4140
Practice Address - Street 1:95 MAIN ST
Practice Address - Street 2:SUITE 2
Practice Address - City:READING
Practice Address - State:MA
Practice Address - Zip Code:01867-3965
Practice Address - Country:US
Practice Address - Phone:781-205-4138
Practice Address - Fax:781-205-4140
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-02
Last Update Date:2008-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA1587111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor