Provider Demographics
NPI:1861531832
Name:DUQUETTE, CAROLE (DC)
Entity type:Individual
Prefix:DR
First Name:CAROLE
Middle Name:
Last Name:DUQUETTE
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:35 TROLLEY CROSSING RD
Mailing Address - Street 2:SUITE 2
Mailing Address - City:CHARLTON
Mailing Address - State:MA
Mailing Address - Zip Code:01507-1351
Mailing Address - Country:US
Mailing Address - Phone:508-248-6336
Mailing Address - Fax:508-248-5960
Practice Address - Street 1:35 TROLLEY CROSSING RD
Practice Address - Street 2:SUITE 2
Practice Address - City:CHARLTON
Practice Address - State:MA
Practice Address - Zip Code:01507-1351
Practice Address - Country:US
Practice Address - Phone:508-248-6336
Practice Address - Fax:508-248-5960
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-06
Last Update Date:2007-12-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA1583111N00000X
NH031-0790111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
MAY36135Medicare ID - Type Unspecified