HOLISTIC CENTER AT BRISTOL SQUARE PLLC (NPI# 1508986787) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508986787 |
| Entity Type | Organization |
| Organization Name | HOLISTIC CENTER AT BRISTOL SQUARE PLLC |
| Other Organization Name | BRISTOL SQUARE CHIROPRACTIC |
| Practice Address |
1426 Main St Suite 6 Walpole MA 02081-1700 |
| Practice Telephone | 5086602722 |
| Practice Fax Number | 5086602621 |
| Mailing Telephone | 5086602722 |
| Mailing Fax Number | 5086602621 |
| Enumeration Date | 2007-03-30 |
| Last Update Date | 2016-08-03 |
| Authorized Official Name | MISS NANCY M. BETHONEY (BILLING COORDINATOR) |
| Authorized Official Telephone | 5086602722 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 111N00000X | Chiropractor | Chiropractic Providers | ||
| Y | 111N00000X | Chiropractor | 262 | MA | Chiropractic Providers |
| Other Name | Type Code |
|---|---|
| Bristol Square Chiropractic | Former Legal Business Name - Organization |
| Street Address |
1426 MAIN ST SUITE 6 |
| City | WALPOLE |
| State | MA |
| Zip Code | 02081-1700 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770561367 | Michael Goldstein | Chiropractor | 1426 Main St, Walpole, MA 02081 | 2006-01-04 |
| 1922452374 | Donald Gedarovich, Md, PC | Internal Medicine | 1426 Main St, Suite 5, Walpole, MA 02081-1700 | 2016-04-21 |
| 1932171444 | Rochelle Bien | Chiropractor | 1426 Main St, Walpole, MA 02081 | 2006-02-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740647122 | Nicole Rose Kelley | Specialist | 63 Edgewood Ave, Walpole, MA 02081 | 2016-01-15 |
| 1962886176 | Christina Gironda | Social Worker | 16 Nectar Rd, Walpole, MA 02081 | 2015-07-17 |
| 1578833125 | Audra Louise Cohen | Counselor | 95 West St., Walpole, MA 02081 | 2012-01-12 |
| 1093913048 | Kurt Thomas Herman | Dentist | 841 Maint St, Walpole, MA 02081 | 2007-07-10 |
| 1265654784 | Robert James Memory | Dentist | 841 Main Street, Walpole, MA 02081 | 2007-05-03 |
| 1194811505 | Donald Roy Gedarovich | Internal Medicine | 1426 Main Street, Suite 5, Walpole, MA 02081 | 2006-10-04 |
| 1417050295 | Nancy J Stechler | Psychologist | 1600 Providence Hwy, Walpole, MA 02081 | 2006-09-06 |
| 1386662997 | James G Farnham | Social Worker | Colony Care Behavioral Health, 841 Main Street, Walpole, MA 02081 | 2006-07-18 |
| 1023087848 | Suzanne R Posner | Social Worker | 95 West Street, Walpole, MA 02081 | 2006-03-15 |
| 1821065640 | Boston Healthcare Inc | Clinic/Center | 420 Main St, Suite 15, Walpole, MA 02081 | 2006-03-01 |
| Find all providers in zip 02081 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578650172 | Steven Pena | Chiropractor | 40 Main St., Walpole, NH 03608-0478 | 2006-10-06 |
| 1619920857 | James William Orphan | Chiropractor | 296 Main Street, Walpole, MA 02081-3834 | 2006-05-18 |
| 1043276652 | Diane C Kwasniewski | Chiropractor | 8 Huntington Ln, Walpole, NH 03608-4213 | 2006-04-22 |
| 1386607604 | Joseph Francis Scimone | Chiropractor | 231 Elm St, Walpole, MA 02081-1903 | 2006-04-08 |
| 1770561367 | Michael Goldstein | Chiropractor | 1426 Main St, Walpole, MA 02081 | 2006-01-04 |
| 1962490862 | Catherine Ann Greene | Chiropractor | 869 Main St, Suite One, Walpole, MA 02081-2985 | 2005-10-13 |
| 1609113422 | Kelly Cornell | Chiropractor | 655 Main St, Walpole, MA 02081-3717 | 2013-01-14 |
| 1902172760 | Ripley Greene PC | Chiropractor | 869 Main St, Walpole, MA 02081-2985 | 2012-03-27 |
| 1992973770 | Walpole Chiropractic Office, Inc. | Chiropractor | 231 Elm St, Walpole, MA 02081-1903 | 2008-02-14 |
| 1265599328 | Eric Lustgarten | Chiropractor | 655 Main St, Walpole, MA 02081-3717 | 2007-01-01 |
| Find all providers in WALPOLE | ||||
Please comment or provide details below to improve the information on HOLISTIC CENTER AT BRISTOL SQUARE PLLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.