MEDICARE: CARON FAMILY CHIROPRACTIC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261Q00000X	Clinic/Center	2935	MA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1063820330
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CARON FAMILY CHIROPRACTIC

Provider Business Mailing Address
First Line	:	1005 OSGOOD ST
Second Line	:
City	:	NORTH ANDOVER
State	:	MA
Zip	:	01845-1501
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1005 OSGOOD ST
Second Line	:
City	:	NORTH ANDOVER
State	:	MA
Zip	:	01845-1501
Country	:	US
Telephone Number	:	978-965-4925
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	SHAYLA CARON
Credential	:
Telephone Number	:	978-965-4925

Provider Enumeration Date	:	07/30/2014
Last Update Date	:	07/30/2014

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Directions to “CARON FAMILY CHIROPRACTIC ” Practice Location

Language	Start Address	Practice Location

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