Provider Demographics
NPI:1962513069
Name:EASTON CHIROPRACTIC, PC
Entity type:Organization
Organization Name:EASTON CHIROPRACTIC, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ANTHONY
Authorized Official - Middle Name:G
Authorized Official - Last Name:SPRINGHETTI
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:508-238-7799
Mailing Address - Street 1:632 WASHINGTON ST
Mailing Address - Street 2:
Mailing Address - City:SOUTH EASTON
Mailing Address - State:MA
Mailing Address - Zip Code:02375-1169
Mailing Address - Country:US
Mailing Address - Phone:508-238-7799
Mailing Address - Fax:508-238-9387
Practice Address - Street 1:632 WASHINGTON ST
Practice Address - Street 2:
Practice Address - City:SOUTH EASTON
Practice Address - State:MA
Practice Address - Zip Code:02375-1169
Practice Address - Country:US
Practice Address - Phone:508-238-7799
Practice Address - Fax:508-238-9387
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-31
Last Update Date:2011-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA1249111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MAEAY49084Medicare ID - Type UnspecifiedGROUP NUMBER