MEDICARE: SEEDS OF HOPE FAMILY CHIROPRACTIC LLC

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
1	111N00000X	Chiropractor	3248	MA

General Provider Information

NPI Number	:	1073818902
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SEEDS OF HOPE FAMILY CHIROPRACTIC LLC

Provider Business Mailing Address
First Line	:	15 WEST ST
Second Line	:	SUITE 204
City	:	DOUGLAS
State	:	MA
Zip	:	01516-2160
Country	:	US
Telephone Number	:	508-476-5577
Fax Number	:	508-476-5124

Provider Business Practice Location Address
First Line	:	15 WEST ST
Second Line	:	SUITE 204
City	:	DOUGLAS
State	:	MA
Zip	:	01516-2160
Country	:	US
Telephone Number	:	508-476-5577
Fax Number	:	508-476-5124

Authorized Official
Title or Position	:	DOCTOR OF CHIROPRACTIC
Name	:	DR. MICHAEL D. SPRATT
Credential	:	D.C.
Telephone Number	:	508-476-5577

Provider Enumeration Date	:	01/25/2011
Last Update Date	:	06/24/2011

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