| Bridgewater Square Chiropractic Inc. | |
|
63 Main St Bridgewater MA 02324-1455 | |
| (508) 697-1831 | |
| (508) 697-0882 |
| Full Name | Bridgewater Square Chiropractic Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 63 Main St, Bridgewater, Massachusetts |
| Authorized Official Name and Position | Kevin A. Perry (OWNER) |
| Authorized Official Contact | 5086970050 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Bridgewater Square Chiropractic Inc. 63 Main St Bridgewater MA 02324-1455 Ph: (508) 697-1831 | Bridgewater Square Chiropractic Inc. 63 Main St Bridgewater MA 02324-1455 Ph: (508) 697-1831 |
| NPI Number | 1952422701 |
|---|---|
| Provider Enumeration Date | 04/02/2007 |
| Last Update Date | 04/21/2015 |
| Medicare PECOS PAC ID | 7810907367 |
|---|---|
| Medicare Enrollment ID | O20060427000405 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952422701 | NPI | - | NPPES |
| Y40043 | Other | MA | BCBS GROUP PROVIDER # |
| 2990813 | Other | MA | AETNA |
| 351229 | Other | MA | HARVARD PILGRIM |
| 792311 | Other | MA | TUFTS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 2182 (Massachusetts) | Primary |
| Provider Name | Kevin A Perry |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1720128127 PECOS PAC ID: 0840200689 Enrollment ID: I20060425000181 |
Ch Healthcare, Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 15 Colonial Dr, Bridgewater, MA 02324 Phone: 617-519-0728 |