1194858795 NPI number — PERRI S SCHNIER DC

Table of content: (NPI 1194858795)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1194858795 NPI number — PERRI S SCHNIER DC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
PERRI S SCHNIER DC
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:
Provider Other Organization Name Type Code:
6
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:
1194858795
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
06/12/2008
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
655 BOSTON RD
Provider Second Line Business Mailing Address:
SUITE 2A
Provider Business Mailing Address City Name:
BILLERICA
Provider Business Mailing Address State Name:
MA
Provider Business Mailing Address Postal Code:
01821-5338
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
978-670-2706
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
655 BOSTON RD
Provider Second Line Business Practice Location Address:
SUITE 2A
Provider Business Practice Location Address City Name:
BILLERICA
Provider Business Practice Location Address State Name:
MA
Provider Business Practice Location Address Postal Code:
01821-5338
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
978-670-2706
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
03/13/2007

Additional Information

Authorized Official

Authorized Official Last Name:
SCHNIER
Authorized Official First Name:
PERRI
Authorized Official Middle Name:
SAUL
Authorized Official Title or Position:
CHIROPRACTOR
Authorized Official Telephone Number:
978-670-2706

Provider Taxonomy Codes

  • Taxonomy code: 111N00000X , with the licence number:  137 , 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: 35318 . This is a "HARVARD INDIVIDUAL" identifier , issued by the state of ( MA ) . This identifiers is of the category "OTHER".
  • Identifier: 467345 . This is a "TUFTS ANNE GLEASON" identifier , issued by the state of ( MA ) . This identifiers is of the category "OTHER".
  • Identifier: 721039 . This is a "TUFTS INDIVIDUAL" identifier , issued by the state of ( MA ) . This identifiers is of the category "OTHER".
  • Identifier: 351171 . This is a "HARVARD ANNE GLEASON" identifier , issued by the state of ( MA ) . This identifiers is of the category "OTHER".
  • Identifier: Y39939 . This is a "BLUECROSSBLUESHEILD GROUP" identifier , issued by the state of ( MA ) . This identifiers is of the category "OTHER".




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