| Cranberry Chiropractic | |
|
205 W Grove St, Suite D, Middleboro, MA 02346-1462 | |
| (508) 946-6455 | |
| (508) 947-6456 |
| Full Name | Cranberry Chiropractic |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 205 W Grove St, Middleboro, Massachusetts |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447464821 | NPI | - | NPPES |
| Y39367 | Other | MA | BLUE CROSS BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | 25 (Massachusetts) | Primary |
| Provider Name | Dwayne R Hannam |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1275674145 PECOS PAC ID: 2860387396 Enrollment ID: I20040216000396 |
| Mailing Address | Practice Location Address |
|---|---|
| Cranberry Chiropractic 205 W Grove St, Suite D, Middleboro, MA 02346-1462 Ph: (508) 946-6455 | Cranberry Chiropractic 205 W Grove St, Suite D, Middleboro, MA 02346-1462 Ph: (508) 946-6455 |
Dr. Raimand F Khairallah, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 63 Anderson Ave Ste A, Middleboro, MA 02346 Phone: 508-947-1411 Fax: 508-946-4413 | |
Jeanne D Mcdonald, Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 25 E Grove St, Middleboro, MA 02346 Phone: 508-946-5580 | |
Middleborough Chiropractic Inc. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 63 Anderson Ave, Middleboro, MA 02346 Phone: 508-947-1411 | |
Dr. Dwayne Robert Hannam, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 205 W Grove St, Suite D, Middleboro, MA 02346 Phone: 508-947-6455 | |
Dr. Barbara Joan Hannam, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 205 W Grove St, Suite D, Middleboro, MA 02346 Phone: 508-947-6455 Fax: 508-947-6456 | |
Middleboro Gudmundsson Chiropractic Inc. Chiropractor Medicare: Medicare Enrolled Practice Location: 63 Anderson Ave Ste A, Middleboro, MA 02346 Phone: 508-947-1411 Fax: 508-946-4413 |