Provider Demographics
NPI:1427231174
Name:WHOLEBODY SOLUTIONS, INC
Entity type:Organization
Organization Name:WHOLEBODY SOLUTIONS, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ANN
Authorized Official - Middle Name:M
Authorized Official - Last Name:DOGGETT
Authorized Official - Suffix:
Authorized Official - Credentials:DC, LDN
Authorized Official - Phone:617-328-6300
Mailing Address - Street 1:15 BRAINTREE HILL OFFICE PARK STE 101
Mailing Address - Street 2:
Mailing Address - City:BRAINTREE
Mailing Address - State:MA
Mailing Address - Zip Code:02184-8702
Mailing Address - Country:US
Mailing Address - Phone:617-328-6300
Mailing Address - Fax:617-328-7780
Practice Address - Street 1:15 BRAINTREE HILL OFFICE PARK STE 101
Practice Address - Street 2:
Practice Address - City:BRAINTREE
Practice Address - State:MA
Practice Address - Zip Code:02184-8702
Practice Address - Country:US
Practice Address - Phone:617-328-6300
Practice Address - Fax:617-328-7780
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-12-17
Last Update Date:2022-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA1430111NN1001X
MA1598133NN1002X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes133NN1002XDietary & Nutritional Service ProvidersNutritionistNutrition, EducationGroup - Multi-Specialty
No111NN1001XChiropractic ProvidersChiropractorNutritionGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA0002617Medicaid