=====================================================
General NPI Number Information
=====================================================
NPI Number | 1417015363
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | JULIE CRAWFORD MACDONALD B.A., D.C.
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 12/04/2006
-----------------------------------------------------
Last Update Date | 07/08/2007
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 6 CENTRAL ST
-----------------------------------------------------
City | ROWLEY
-----------------------------------------------------
State | MA
-----------------------------------------------------
Zip | 01969-1737
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 978-948-6966
-----------------------------------------------------
Fax | 978-948-3402
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 6 CENTRAL ST P.O. BOX 513
-----------------------------------------------------
City | ROWLEY
-----------------------------------------------------
State | MA
-----------------------------------------------------
Zip | 01969-1737
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 978-948-6966
-----------------------------------------------------
Fax | 978-948-3402
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 111N00000X
-----------------------------------------------------
Taxonomy Name | Chiropractor
-----------------------------------------------------
License Number | CH2424
-----------------------------------------------------
License Number State | MA
-----------------------------------------------------