Moody Street Total Health, Inc., NPI 1447237185
Chiropractor in Waltham, MA, US

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NPI number: what is it?

The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...

NPI 1447237185
NPI Entity Type Organization
Provider Name Moody Street Total Health, Inc.
Enumeration Date September 30, 2009
Last Update Date September 30, 2009
Certification Date September 30, 2009
Provider Location Address 3 Common Street #2, Waltham, MA, US
Provider Mailing Address 3 Common Street #2, Waltham, MA, US, 02451
Gender Male
Is Sole Proprietor? No
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Organization Official

Official Name Karen Lynn St.laurent
Official Position OWNER
Phone 978-821-7054

Group Taxonomy

Taxonomy Code 193400000X
Taxonomy Name 193400000X SINGLE SPECIALTY GROUP
Definition A business group of one or more individual practitioners, all of who practice with the same area of specialization.

Primary Taxonomy

Taxonomy Code

111N00000X

Taxonomy Name Chiropractor
Classification

Chiropractor

Group

Chiropractic Providers

License No. 2269
License State MA
Description A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.

Business Address

Moody Street Total Health, Inc.
3 Common Street #2

Waltham, MA, US

Phone: 978-821-7054
Fax: 774-208-0712

Mailing Address

Moody Street Total Health, Inc.
3 Common Street #2
Waltham, MA, US
ZIP 02451
Phone: 978-821-7054
Fax: 774-208-0712

Other Identifiers

Identifier Identifier State Identifier Issuer Type/Code
798431 MA TUFTS HEALTH PLAN 01
974044 MA NETWORK HEALTH PLAN 01
033487192 MA HCVM 01
1612913 MA MEDICAID 05
Y36596 MA BC/BS OF MA INDIVIDUAL ID 01
Y39835 MA BC/BS OF MA GROUP ID 01
1867401004 MA CIGNA HEALTH CARE 01
2859278 MA AETNA/US HEALTHCARE 01
4404288 MA UNITED HEALTH CARE 01
9228734 MA PHCS 01
27243 MA NEIGHBORHOOD HEALTH PLAN 01
351902 MA HARVARD PILGRIM 01

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