Provider Demographics
NPI:1386744837
Name:DACUNHA, ANTONIO (DC)
Entity type:Individual
Prefix:
First Name:ANTONIO
Middle Name:
Last Name:DACUNHA
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:161 WILLIAM ST
Mailing Address - Street 2:
Mailing Address - City:NEW BEDFORD
Mailing Address - State:MA
Mailing Address - Zip Code:02740-6021
Mailing Address - Country:US
Mailing Address - Phone:508-984-8000
Mailing Address - Fax:508-984-8102
Practice Address - Street 1:161 WILLIAM ST
Practice Address - Street 2:
Practice Address - City:NEW BEDFORD
Practice Address - State:MA
Practice Address - Zip Code:02740-6021
Practice Address - Country:US
Practice Address - Phone:508-984-8000
Practice Address - Fax:508-984-8102
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-25
Last Update Date:2010-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA1840111N00000X
RIDCP00491111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
RI263092OtherBCBS OF RI
263092OtherBC RI
Y36317DAOtherBC MA
0023606OtherNEIGHBORHOOD HEALTH
1610619OtherMEDICAIDE
391886617OtherHCVM
401358OtherBCHIP
1000080OtherAMERICAN SPECIALTY
4400419OtherUHEALTH
MA1610619Medicaid
B20922001OtherCIGNA
MAY36317OtherBLUE CROSS BLUE SHIELD MA
1610619OtherMEDICAIDE
B20922001OtherCIGNA