Provider Demographics
NPI:1285772962
Name:PALMER CHIROPRACTIC PC
Entity type:Organization
Organization Name:PALMER CHIROPRACTIC PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:PETER
Authorized Official - Middle Name:HARTLEY
Authorized Official - Last Name:FALKOFF
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:413-283-9963
Mailing Address - Street 1:1223 THORNDIKE ST
Mailing Address - Street 2:
Mailing Address - City:PALMER
Mailing Address - State:MA
Mailing Address - Zip Code:01069-1564
Mailing Address - Country:US
Mailing Address - Phone:413-283-9963
Mailing Address - Fax:413-289-1798
Practice Address - Street 1:1223 THORNDIKE ST
Practice Address - Street 2:
Practice Address - City:PALMER
Practice Address - State:MA
Practice Address - Zip Code:01069-1564
Practice Address - Country:US
Practice Address - Phone:413-283-9963
Practice Address - Fax:413-289-1798
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-02
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA77 CHIROPRACTIC FACI111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
727602OtherTUFTS
MAY39992OtherBCBS