Gendron, Douglas Joseph

Gendron, Douglas Joseph is an individual health care provider with primary practice located at 438 Chestnut St , Springfield MA 01107. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Gendron, Douglas Joseph can be contacted via phone (413) 746-0504.

Contact Information

Primary practice address
438 Chestnut St Springfield MA 01107
Phone: (413) 746-0504
Fax: (413) 746-0508
Website:
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Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 2005 Massachusetts

Profile Details

NPI number 1487768040
LBN Legal business name Gendron, Douglas Joseph
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 19th, 2006
Last updated Jul 8th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1487768040 NPPES
Other 1028952 FALLON
Other 3065316 FALLON
Other Y36679 FALLON
Other 1601229 FALLON
MEDICAID 1601229 FALLON
Other 665295 FALLON
Other Y45483 FALLON
Other Y36679 FALLON
Other 665295 FALLON
Other Y36679 FALLON

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