1164634481 NPI number — THE WHITTEMORE GROUP, INC.

Table of content: (NPI 1164634481)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1164634481 NPI number — THE WHITTEMORE GROUP, INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
THE WHITTEMORE GROUP, INC.
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
STOW FAMILY CHIROPRACTIC
Provider Other Organization Name Type Code:
3
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1164634481
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
03/25/2024
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
118 GREAT RD STE 205
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
STOW
Provider Business Mailing Address State Name:
MA
Provider Business Mailing Address Postal Code:
01775-1190
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
978-897-1770
Provider Business Mailing Address Fax Number:
978-897-1715

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
118 GREAT RD
Provider Second Line Business Practice Location Address:
SUITE 215
Provider Business Practice Location Address City Name:
STOW
Provider Business Practice Location Address State Name:
MA
Provider Business Practice Location Address Postal Code:
01775-1190
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
978-897-1770
Provider Business Practice Location Address Fax Number:
978-897-1715
Provider Enumeration Date:
05/07/2007

Additional Information

Authorized Official

Authorized Official Last Name:
WHITTEMORE
Authorized Official First Name:
TODD
Authorized Official Middle Name:
ALLAN
Authorized Official Title or Position:
PRESIDENT
Authorized Official Telephone Number:
978-897-1770

Provider Taxonomy Codes

  • Taxonomy code: 111N00000X , with the licence number:  2723 , registered in the state of MA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 655790 . This is a "UNITED HEALTH CARE" identifier , issued by the state of ( MA ) . This identifiers is of the category "OTHER".
  • Identifier: Y4562301 . This is a "MEDICARE INDIVIDUAL #" identifier , issued by the state of ( MA ) . This identifiers is of the category "OTHER".
  • Identifier: 0003462 . This is a "MEDICARE PIN/PTAN GROUP #" identifier , issued by the state of ( MA ) . This identifiers is of the category "OTHER".
  • Identifier: 352540 . This is a "HARVARD PILGRAM HEATHCARE" identifier , issued by the state of ( MA ) . This identifiers is of the category "OTHER".
  • Identifier: 699749 . This is a "TUFTS GROUP #" identifier , issued by the state of ( MA ) . This identifiers is of the category "OTHER".
  • Identifier: 835626 . This is a "MPN" identifier , issued by the state of ( MA ) . This identifiers is of the category "OTHER".
  • Identifier: 1368343002 . This is a "CIGNA" identifier , issued by the state of ( MA ) . This identifiers is of the category "OTHER".
  • Identifier: 3236217 . This is a "AETNA" identifier , issued by the state of ( MA ) . This identifiers is of the category "OTHER".
  • Identifier: Y39725 . This is a "BCBS MA GROUP" identifier , issued by the state of ( MA ) . This identifiers is of the category "OTHER".
  • Identifier: 499711 . This is a "TUFTS INDIVIDUAL #" identifier , issued by the state of ( MA ) . This identifiers is of the category "OTHER".
  • Identifier: Y36958 . This is a "BCBS MA INDIVIDUAL" identifier , issued by the state of ( MA ) . This identifiers is of the category "OTHER".




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