Provider Demographics
NPI:1326881996
Name:METHUEN CHIROPRACTIC ASSOCIATES, PLLC
Entity type:Organization
Organization Name:METHUEN CHIROPRACTIC ASSOCIATES, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DC/CO-OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JONATHAN
Authorized Official - Middle Name:P
Authorized Official - Last Name:LUSCOMB
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:603-560-7085
Mailing Address - Street 1:2 CONCORD DR
Mailing Address - Street 2:
Mailing Address - City:ATKINSON
Mailing Address - State:NH
Mailing Address - Zip Code:03811-2171
Mailing Address - Country:US
Mailing Address - Phone:603-401-4999
Mailing Address - Fax:
Practice Address - Street 1:100 MILK ST STE 8
Practice Address - Street 2:
Practice Address - City:METHUEN
Practice Address - State:MA
Practice Address - Zip Code:01844-4600
Practice Address - Country:US
Practice Address - Phone:978-984-6636
Practice Address - Fax:978-984-6486
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-06-13
Last Update Date:2024-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty