Healthcare Provider Details

I. General information

NPI: 1629033931
Provider Name (Legal Business Name): FRANK MICHAEL BLAIR D.C.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

Provider Other Name: F. MICHAEL BLAIR D.C.

II. Dates (important events)

Enumeration Date: 04/19/2006
Last Update Date: 07/10/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

73 SUMMER ST
HINGHAM MA
02043-1963
US

IV. Provider business mailing address

73 SUMMER ST
HINGHAM MA
02043-1963
US

V. Phone/Fax

Practice location:
  • Phone: 781-749-3365
  • Fax: 781-749-6262
Mailing address:
  • Phone: 781-749-3365
  • Fax: 781-749-6262

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number426
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: