=====================================================
General NPI Number Information
=====================================================
NPI Number | 1346435385
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | EDEN A. HUTT D.C., P.C.
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 09/12/2007
-----------------------------------------------------
Last Update Date | 09/12/2007
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 50 MAIN ST
-----------------------------------------------------
City | TOPSFIELD
-----------------------------------------------------
State | MA
-----------------------------------------------------
Zip | 01983-1831
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 978-887-3338
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 50 MAIN ST
-----------------------------------------------------
City | TOPSFIELD
-----------------------------------------------------
State | MA
-----------------------------------------------------
Zip | 01983-1831
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 978-887-3338
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | PRESIDENT/OWNER
-----------------------------------------------------
Name | DR. EDEN ALAN HUTT
-----------------------------------------------------
Credential | D.C.
-----------------------------------------------------
Telephone | 978-887-3338
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 111NS0005X
-----------------------------------------------------
Taxonomy Name | Sports Physician Chiropractor
-----------------------------------------------------
License Number | 2222
-----------------------------------------------------
License Number State | MA
-----------------------------------------------------