| |
1379 Rt 28a Unit B1, Cataumet, MA 02534 | |
(508) 392-9373 | |
(508) 392-9472 |
Full Name | |
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Type | Facility |
Speciality | Chiropractor |
Location | 1379 Rt 28a Unit B1, Cataumet, Massachusetts |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1376718270 | NPI | - | NPPES |
7041469 | Other | AETNA | |
1040604 | Other | ASH |
Taxonomy | Type | License (State) | Status |
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111N00000X | Chiropractor | 2783 (Massachusetts) | Primary |
Provider Name | Shea L Burke |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1104995562 PECOS PAC ID: 9830168251 Enrollment ID: I20041001000060 |
Mailing Address | Practice Location Address |
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Po Box 667, Cataumet, MA 02534-0667 Ph: (508) 392-9373 | 1379 Rt 28a Unit B1, Cataumet, MA 02534 Ph: (508) 392-9373 |