Moody Street Total Health, Inc., NPI 1447237185
Chiropractor in Waltham, MA, US
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 |
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 | |
| Taxonomy Name | Chiropractor |
| Classification | |
| Group | |
| 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. |
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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