1184944464 NPI number — FRANCIS P. DEFALCO, PC

Table of content: (NPI 1184944464)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1184944464 NPI number — FRANCIS P. DEFALCO, PC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
FRANCIS P. DEFALCO, PC
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:
DEFALCO 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:
1184944464
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
06/09/2010
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
456 MAIN ST STE B
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
HOLDEN
Provider Business Mailing Address State Name:
MA
Provider Business Mailing Address Postal Code:
01520-3708
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
508-648-7877
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
456 MAIN ST STE B
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
HOLDEN
Provider Business Practice Location Address State Name:
MA
Provider Business Practice Location Address Postal Code:
01520-3708
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
508-648-7877
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
06/09/2010

Additional Information

Authorized Official

Authorized Official Last Name:
DEFALCO
Authorized Official First Name:
FRANCIS
Authorized Official Middle Name:
PAUL
Authorized Official Title or Position:
PRESIDENT
Authorized Official Telephone Number:
508-648-7877

Provider Taxonomy Codes

  • Taxonomy code: 111N00000X , with the licence number:  2466 , 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: 2023086 . This is a "UNITED HEALTH CARE" identifier . This identifiers is of the category "OTHER".
  • Identifier: 11167727 . This is a "CAQH" identifier . This identifiers is of the category "OTHER".
  • Identifier: 29893-7 . This is a "BCBS" identifier , issued by the state of ( RI ) . This identifiers is of the category "OTHER".
  • Identifier: 407379 . This is a "BLUE CHIP" identifier , issued by the state of ( MA ) . This identifiers is of the category "OTHER".
  • Identifier: AA84266 . This is a "HARVARD PILGRIM" identifier , issued by the state of ( MA ) . This identifiers is of the category "OTHER".
  • Identifier: Y45328 . This is a "MEDICARE" identifier , issued by the state of ( MA ) . This identifiers is of the category "OTHER".
  • Identifier: 1107594 . This is a "FALLON" identifier , issued by the state of ( MA ) . This identifiers is of the category "OTHER".
  • Identifier: 646535 . This is a "OPTUM HEALTH" identifier . This identifiers is of the category "OTHER".
  • Identifier: 2466 . This is a "STATE LICENSE" identifier , issued by the state of ( MA ) . This identifiers is of the category "OTHER".
  • Identifier: 613154901 . This is a "DEPARTMENT OF LABOR" identifier . This identifiers is of the category "OTHER".
  • Identifier: 9537032 . This is a "CIGNA" identifier , issued by the state of ( MA ) . This identifiers is of the category "OTHER".
  • Identifier: Y36707 . This is a "BCBS" identifier , issued by the state of ( MA ) . This identifiers is of the category "OTHER".
  • Identifier: 1538181896 . This is a "NPI" identifier . This identifiers is of the category "OTHER".
  • Identifier: 2567760 . This is a "AETNA- HMO" identifier , issued by the state of ( MA ) . This identifiers is of the category "OTHER".
  • Identifier: 7346087 . This is a "AETNA" identifier , issued by the state of ( MA ) . This identifiers is of the category "OTHER".




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