MEDICARE: AGAWAM CHIROPRACTIC LLC

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	111N00000X	Chiropractor	3222	MA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	1568568996	OTHER	CT	NPI

General Provider Information

NPI Number	:	1710299136
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AGAWAM CHIROPRACTIC LLC

Provider Business Mailing Address
First Line	:	733 E MAIN ST
Second Line	:	UNIT 4
City	:	TORRINGTON
State	:	CT
Zip	:	06790-3977
Country	:	US
Telephone Number	:	860-496-7246
Fax Number	:

Provider Business Practice Location Address
First Line	:	850 SPRINGFIELD ST
Second Line	:	C
City	:	FEEDING HILLS
State	:	MA
Zip	:	01030-2243
Country	:	US
Telephone Number	:	860-496-7246
Fax Number	:	860-496-0553

Authorized Official
Title or Position	:	MEMBER
Name	:	DR. CAROLE LOGUE LESSARD
Credential	:	DC
Telephone Number	:	860-496-7246

Provider Enumeration Date	:	07/14/2010
Last Update Date	:	07/14/2010

Similar Medicare Providers

1871600130 — DR. MICHAEL JOSEPH CALABRESE DMD
Practice Location Address:

850 SPRINGFIELD ST , SUITE 2
FEEDING HILLS, MA
01030-2243

Practice Phone: 413-786-0555
Practice Fax: 413-821-0890

1992131197 — AGAWAM DENTAL ARTS
Practice Location Address:

850 SPRINGFIELD ST , SUITE 2
FEEDING HILLS, MA
01030-2243

Practice Phone: 413-786-0555
Practice Fax:

1174578900 — LORI VEST-DENNISON PA
Practice Location Address:

257 PARADISE HILLS
NEW BRAUNFELS, TX
78132-2243

Practice Phone: 830-226-7004
Practice Fax:

1952530925 — DR. ROBERT DONALD STOCKMAN PHD
Practice Location Address:

16412 E GLENBROOK BLVD
FOUNTAIN HILLS, AZ
85268-2243

Practice Phone: 480-323-0485
Practice Fax:

1275972986 — DR. MUNTHER Z SALEM D.D.S.
Practice Location Address:

10735 E DORIC CIR
PALOS HILLS, IL
60465-2243

Practice Phone: 708-307-5072
Practice Fax:

1679986137 — DR. MICHAEL ANTHONY FISHER M.D.
Practice Location Address:

16448 E GLENBROOK BLVD
FOUNTAIN HILLS, AZ
85268-2243

Practice Phone: 516-205-4489
Practice Fax:

Directions to “AGAWAM CHIROPRACTIC LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.