Provider Demographics
NPI:1649372335
Name:STONE, RICHARD DONALD JR (DC)
Entity type:Individual
Prefix:DR
First Name:RICHARD
Middle Name:DONALD
Last Name:STONE
Suffix:JR
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:323 BOSTON POST RD
Mailing Address - Street 2:#2A
Mailing Address - City:SUDBURY
Mailing Address - State:MA
Mailing Address - Zip Code:01776-3022
Mailing Address - Country:US
Mailing Address - Phone:978-443-4344
Mailing Address - Fax:978-443-8383
Practice Address - Street 1:323 BOSTON POST RD
Practice Address - Street 2:#2A
Practice Address - City:SUDBURY
Practice Address - State:MA
Practice Address - Zip Code:01776-3022
Practice Address - Country:US
Practice Address - Phone:978-443-4344
Practice Address - Fax:978-443-8383
Is Sole Proprietor?:No
Enumeration Date:2006-09-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA2098111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA1611372Medicaid
MAY45111Medicare ID - Type Unspecified
MA1611372Medicaid