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NPI Code Detail

MEDICARE: DR. JILL BUSCHMANN D.C.

MEDICARE:  DR. JILL  BUSCHMANN  D.C.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1111N00000XChiropractorDC 1614MA
2111N00000XChiropractorCR 841ME
3111N00000XChiropractor607-0700NH
4111N00000XChiropractorDC 27210CA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1BUY36146OTHERMABCBSMA
205Y004027MA01OTHERNHANTHEM BCBS
31611658OTHERMAMASS HEALTH

General Provider Information

NPI Number : 1013970722
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JILL BUSCHMANN D.C.
Provider Business Mailing Address
First Line : 120 E MAIN ST
Second Line :
City : MERRIMAC
State : MA
Zip : 01860-1615
Country : US
Telephone Number : 978-346-4211
Fax Number : 978-346-4211
Provider Business Practice Location Address
First Line : 120 E MAIN ST
Second Line :
City : MERRIMAC
State : MA
Zip : 01860-1615
Country : US
Telephone Number : 978-346-4211
Fax Number : 978-346-4211
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/11/2006
Last Update Date : 07/08/2007

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Directions to “ DR. JILL BUSCHMANN D.C.” Practice Location

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