Healthcare Provider Details

I. General information

NPI: 1053435271
Provider Name (Legal Business Name): GEORGE A. DEBS D.C.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/16/2007
Last Update Date: 04/02/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

352 BOSTON TPKE
SHREWSBURY MA
01545-3873
US

IV. Provider business mailing address

352 BOSTON TPKE
SHREWSBURY MA
01545-3873
US

V. Phone/Fax

Practice location:
  • Phone: 508-425-3304
  • Fax: 508-425-3306
Mailing address:
  • Phone: 508-425-3304
  • Fax: 508-425-3306

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number924
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: