MEDICARE: BRIGGS 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	225100000X	Physical Therapist

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	Y61468	OTHER	MA	BLUE CROSS BLUE SHIELD

General Provider Information

NPI Number	:	1366630881
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BRIGGS CHIROPRACTIC

Provider Business Mailing Address
First Line	:	320 CENTRAL ST
Second Line	:
City	:	SAUGUS
State	:	MA
Zip	:	01906-2371
Country	:	US
Telephone Number	:	781-233-4122
Fax Number	:

Provider Business Practice Location Address
First Line	:	320 CENTRAL ST
Second Line	:
City	:	SAUGUS
State	:	MA
Zip	:	01906-2371
Country	:	US
Telephone Number	:	781-233-4122
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	DR. KEITH BRIGGS
Credential	:	DC
Telephone Number	:	781-233-4122

Provider Enumeration Date	:	10/10/2007
Last Update Date	:	10/10/2007

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Directions to “BRIGGS CHIROPRACTIC ” Practice Location

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