Healthcare Provider Details

I. General information

NPI: 1871659672
Provider Name (Legal Business Name): MULTIMED CENTER, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/28/2006
Last Update Date: 04/06/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

74 MAIN ST
GREENFIELD MA
01301-3238
US

IV. Provider business mailing address

74 MAIN ST
GREENFIELD MA
01301-3238
US

V. Phone/Fax

Practice location:
  • Phone: 413-774-7501
  • Fax:
Mailing address:
  • Phone: 413-774-7501
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111NN0400X
TaxonomyNeurology Chiropractor
License Number840
License Number StateMA

VIII. Authorized Official

Name: DR. DAVID N TAYLOR
Title or Position: PRESIDENT
Credential: D.C.
Phone: 413-774-7501