=====================================================
General NPI Number Information
=====================================================
NPI Number | 1366556151
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | TRUEX CHIROPRACTIC CENTER, P.C.
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 08/18/2006
-----------------------------------------------------
Last Update Date | 01/03/2008
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 17 ALDRIN RD
-----------------------------------------------------
City | PLYMOUTH
-----------------------------------------------------
State | MA
-----------------------------------------------------
Zip | 02360-4803
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 508-747-2900
-----------------------------------------------------
Fax | 508-747-2980
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 17 ALDRIN RD
-----------------------------------------------------
City | PLYMOUTH
-----------------------------------------------------
State | MA
-----------------------------------------------------
Zip | 02360-4803
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 508-747-2900
-----------------------------------------------------
Fax | 508-747-2980
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER
-----------------------------------------------------
Name | DR. JOHN CHARLES TRUEX
-----------------------------------------------------
Credential | D.C.
-----------------------------------------------------
Telephone | 508-747-2900
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 111N00000X
-----------------------------------------------------
Taxonomy Name | Chiropractor
-----------------------------------------------------
License Number | 238
-----------------------------------------------------
License Number State | MA
-----------------------------------------------------