| Life Clinic Of Ma Pc | |
|
300 Boylston St, Chestnut Hill, MA 02467-1959 | |
| (339) 927-4379 | |
| Not Available |
| Full Name | Life Clinic Of Ma Pc |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 300 Boylston St, Chestnut Hill, Massachusetts |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225568975 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 22574 (Massachusetts) | Secondary |
| 111N00000X | Chiropractor | 3387 (Massachusetts) | Primary |
| Provider Name | Timothy J Kistler |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1043366347 PECOS PAC ID: 2466402839 Enrollment ID: I20180308001489 |
| Provider Name | Donald J Levin |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1811362734 PECOS PAC ID: 4981968922 Enrollment ID: I20180430000077 |
| Provider Name | Scott Robert Durdin |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1780216382 PECOS PAC ID: 2365879459 Enrollment ID: I20200302002573 |
| Mailing Address | Practice Location Address |
|---|---|
| Life Clinic Of Ma Pc Po Box 686, Chanhassen, MN 55317-0686 Ph: () - | Life Clinic Of Ma Pc 300 Boylston St, Chestnut Hill, MA 02467-1959 Ph: (339) 927-4379 |
Wren Burton, Chiropractor Medicare: Medicare Enrolled Practice Location: 850 Boylston St Ste 422, Chestnut Hill, MA 02467 Phone: 617-732-9700 | |
Dr. Matthew H Kowalski, DC Chiropractor Medicare: Medicare Enrolled Practice Location: 850 Boylston St Suite 422, Brigham And Women's Hospital, Chestnut Hill, MA 02467 Phone: 617-732-9700 Fax: 617-732-9480 | |
Brigham And Women's Physicians Organization Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 850 Boylston St, Suite 422, Chestnut Hill, MA 02467 Phone: 617-732-9700 |