De Vita, Thomas Richard
De Vita, Thomas Richard is an individual health care provider with primary practice located at 271 Great Rd , Acton MA 01720-4772. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. De Vita, Thomas Richard can be contacted via phone (978) 263-9336.Contact Information
Primary practice address
271 Great Rd
Acton MA 01720-4772
Phone: (978) 263-9336
Fax: (978) 264-4431
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | 386 | Massachusetts |
Profile Details
| NPI number | 1356395651 |
|---|---|
| LBN Legal business name | De Vita, Thomas Richard |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 20th, 2006 |
| Last updated | Dec 20th, 2007 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1356395651 | NPPES |
| Massachusetts | MEDICAID | 1603698 |
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