Provider Demographics
NPI:1144469347
Name:MICHAEL PERRAS DC, LLC
Entity type:Organization
Organization Name:MICHAEL PERRAS DC, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:RICHARD
Authorized Official - Last Name:PERRAS
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:508-477-6900
Mailing Address - Street 1:681 FALMOUTH RD
Mailing Address - Street 2:SUITE B21
Mailing Address - City:MASHPEE
Mailing Address - State:MA
Mailing Address - Zip Code:02649-3327
Mailing Address - Country:US
Mailing Address - Phone:508-477-6900
Mailing Address - Fax:508-477-7900
Practice Address - Street 1:681 FALMOUTH RD
Practice Address - Street 2:SUITE B21
Practice Address - City:MASHPEE
Practice Address - State:MA
Practice Address - Zip Code:02649-3327
Practice Address - Country:US
Practice Address - Phone:508-477-6900
Practice Address - Fax:508-477-7900
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-02-11
Last Update Date:2016-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA1307111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty