Provider Demographics
NPI:1205025285
Name:MERRIMACK VALLEY CHIROPRACTIC, INC
Entity type:Organization
Organization Name:MERRIMACK VALLEY CHIROPRACTIC, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR OF CHIROPRACTIC
Authorized Official - Prefix:DR
Authorized Official - First Name:LEAH
Authorized Official - Middle Name:PARENT
Authorized Official - Last Name:GEARY
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:978-454-4300
Mailing Address - Street 1:1540 BRIDGE ST
Mailing Address - Street 2:
Mailing Address - City:DRACUT
Mailing Address - State:MA
Mailing Address - Zip Code:01826-2611
Mailing Address - Country:US
Mailing Address - Phone:978-454-4300
Mailing Address - Fax:978-454-8277
Practice Address - Street 1:1540 BRIDGE ST
Practice Address - Street 2:
Practice Address - City:DRACUT
Practice Address - State:MA
Practice Address - Zip Code:01826-2611
Practice Address - Country:US
Practice Address - Phone:978-454-4300
Practice Address - Fax:978-454-8277
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-16
Last Update Date:2016-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA1901111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA1610554OtherMASSHEALTH
MA0686337OtherCIGNA
MA1831245208OtherTUFTS
MAY39895OtherBLUE CROSS BLUE SHIEL
MA350014OtherHARVARD PILGRIM
MA0686337OtherCIGNA