Healthcare Provider Details

I. General information

NPI: 1720189947
Provider Name (Legal Business Name): STERLING FAMILY CHIROPRACTIC P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/26/2006
Last Update Date: 08/05/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 BEAN ROAD
STERLING MA
01564
US

IV. Provider business mailing address

1 BEAN ROAD
STERLING MA
01564
US

V. Phone/Fax

Practice location:
  • Phone: 978-422-2992
  • Fax:
Mailing address:
  • Phone: 978-422-2992
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number1916
License Number StateMA

VIII. Authorized Official

Name: DR. WALLACE A HOWARD III
Title or Position: PRESIDENT
Credential: D.C.
Phone: 978-422-2992