Provider Demographics
NPI:1215055959
Name:NORTH READING CHIROPRACTIC ASSOCIATES, PC
Entity type:Organization
Organization Name:NORTH READING CHIROPRACTIC ASSOCIATES, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIROPRACTIC PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:JEFFREY
Authorized Official - Middle Name:NEIL
Authorized Official - Last Name:BERUBE
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:978-664-0610
Mailing Address - Street 1:21 MAIN ST
Mailing Address - Street 2:SUITE 1C
Mailing Address - City:NORTH READING
Mailing Address - State:MA
Mailing Address - Zip Code:01864-5001
Mailing Address - Country:US
Mailing Address - Phone:978-664-0610
Mailing Address - Fax:978-664-0723
Practice Address - Street 1:21 MAIN ST
Practice Address - Street 2:SUITE 1C
Practice Address - City:NORTH READING
Practice Address - State:MA
Practice Address - Zip Code:01864-5001
Practice Address - Country:US
Practice Address - Phone:978-664-0610
Practice Address - Fax:978-664-0723
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-27
Last Update Date:2015-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MACH 2018111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA33386563OtherUNICARE
MA407185OtherTUFTS HEALTH PLAN
MA0021801OtherNEIGHBORHOOD HEALTH PLAN
MA1613863Medicaid
MA2239858OtherAETNA
MA4400627OtherUNITED HEALTH CARE
MA6565933001OtherCGNA HEALTH SOURCE
MA351362OtherHARVARD PILGRIM HEALTH
MAY36666OtherBLUE CROSS BLUE SHIELS
MA617185OtherACN
MA4400627OtherUNITED HEALTH CARE
MA1613863Medicaid