Provider Demographics
NPI:1548317753
Name:TAPANAINEN, MIKA J (DC)
Entity type:Individual
Prefix:DR
First Name:MIKA
Middle Name:J
Last Name:TAPANAINEN
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:422 WORCESTER ST
Mailing Address - Street 2:SUITE 302
Mailing Address - City:WELLESLEY HILLS
Mailing Address - State:MA
Mailing Address - Zip Code:02481-5341
Mailing Address - Country:US
Mailing Address - Phone:781-772-1437
Mailing Address - Fax:781-772-1438
Practice Address - Street 1:422 WORCESTER ST
Practice Address - Street 2:SUITE 302
Practice Address - City:WELLESLEY HILLS
Practice Address - State:MA
Practice Address - Zip Code:02481-5341
Practice Address - Country:US
Practice Address - Phone:781-772-1437
Practice Address - Fax:781-772-1438
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-03
Last Update Date:2013-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA2875111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
MAY37038OtherBLUE CROSS, BLUE SHIELD
MAY37038OtherBLUE CROSS, BLUE SHIELD