Healthcare Provider Details

I. General information

NPI: 1962671628
Provider Name (Legal Business Name): MEGAN ELIZABETH SILVIA-FLAVELL D.C.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/27/2008
Last Update Date: 08/05/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

222 MILLIKEN BLVD
FALL RIVER MA
02721-1623
US

IV. Provider business mailing address

222 MILLIKEN BLVD
FALL RIVER MA
02721-1623
US

V. Phone/Fax

Practice location:
  • Phone: 508-676-7700
  • Fax: 508-567-3095
Mailing address:
  • Phone: 508-676-7700
  • Fax: 508-567-3095

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number3181
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: