Healthcare Provider Details

I. General information

NPI: 1316190309
Provider Name (Legal Business Name): CHIROPRACTIC CARE CENTERS, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/04/2008
Last Update Date: 04/17/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

410 SCHOOL ST
LOWELL MA
01851-1367
US

IV. Provider business mailing address

410 SCHOOL ST
LOWELL MA
01851-1367
US

V. Phone/Fax

Practice location:
  • Phone: 978-458-6620
  • Fax: 978-458-6671
Mailing address:
  • Phone: 978-458-6620
  • Fax: 978-458-6671

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number
License Number State

VIII. Authorized Official

Name: GARY GOSSELIN
Title or Position: DIRECTOR
Credential: D.C.
Phone: 978-557-9072