Provider Demographics
NPI:1780918250
Name:MUI CHIROPRACTIC AND WELLNESS CENTER PC
Entity type:Organization
Organization Name:MUI CHIROPRACTIC AND WELLNESS CENTER PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:KARSON
Authorized Official - Middle Name:
Authorized Official - Last Name:MUI
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:617-340-2189
Mailing Address - Street 1:437 CHERRY ST
Mailing Address - Street 2:
Mailing Address - City:WEST NEWTON
Mailing Address - State:MA
Mailing Address - Zip Code:02465-2017
Mailing Address - Country:US
Mailing Address - Phone:671-340-2189
Mailing Address - Fax:
Practice Address - Street 1:437 CHERRY ST
Practice Address - Street 2:
Practice Address - City:WEST NEWTON
Practice Address - State:MA
Practice Address - Zip Code:02465-2017
Practice Address - Country:US
Practice Address - Phone:671-340-2189
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-09-30
Last Update Date:2013-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA3235111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty