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Contact Information

BREATH OF LIFE CHIROPRACTIC AND WELLNESS
146 BRIARCLIFF RD
BROCKTON, MA02301-3011
 Phone: 508-250-7359
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Health Maintenance Organization

302R00000X
Indicates primary specialty

NPI Profile & details for BREATH OF LIFE CHIROPRACTIC AND WELLNESS

NPI Number 1720449093
LBN Legal business name BREATH OF LIFE CHIROPRACTIC AND WELLNESS
Authorized official CALEB ULTIMO - (CHIROPRACTOR)
Entity Organization
Organization subpart 1 No
Enumeration date 03/15/2016
Last updated 03/15/2016 - About 10 years ago
Identifiers
MA License # 3095
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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