Healthcare Provider Details

I. General information

NPI: 1205810595
Provider Name (Legal Business Name): JAMES PAUL BARASSI DC
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/01/2005
Last Update Date: 09/11/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

435 LANCASTER ST SUITE 214
LEOMINSTER MA
01453-4397
US

IV. Provider business mailing address

435 LANCASTER ST SUITE 214
LEOMINSTER MA
01453-4397
US

V. Phone/Fax

Practice location:
  • Phone: 978-728-3001
  • Fax: 978-728-3001
Mailing address:
  • Phone: 978-728-3001
  • Fax: 978-728-3001

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111NS0005X
TaxonomySports Physician Chiropractor
License NumberCH1621
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: