Healthcare Provider Details

I. General information

NPI: 1871864256
Provider Name (Legal Business Name): SPRINGFIELD FAMILY CHIROPRACTIC LLC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/18/2012
Last Update Date: 09/02/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

281 STATE ST STE 1F
SPRINGFIELD MA
01103-1997
US

IV. Provider business mailing address

PO BOX 3091
SPRINGFIELD MA
01101-3091
US

V. Phone/Fax

Practice location:
  • Phone: 413-335-2558
  • Fax: 866-711-9657
Mailing address:
  • Phone: 413-335-2558
  • Fax: 866-711-9657

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number3354
License Number StateMA

VIII. Authorized Official

Name: DR. PAUL JEFFREY DION
Title or Position: CEO/OWNER/CHIROPRACTIC PHYSICIAN
Credential: D.C.
Phone: 413-335-2558