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NPI Code Detail

MEDICARE: DR. MITCHELL SCOTT TISHLER DC

MEDICARE:  DR. MITCHELL SCOTT TISHLER  DC
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
1111N00000XChiropractor1162MA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1797115OTHERMATUFTS HEALTH PLAN
235665OTHERMAHARVARD PILGRIM
3Y35866OTHERMABLUE CROSS BLUE SHIELD

General Provider Information

NPI Number : 1376595306
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MITCHELL SCOTT TISHLER DC
Provider Business Mailing Address
First Line : 60 MUNSON MEETING WAY
Second Line :
City : CHATHAM
State : MA
Zip : 02633-1992
Country : US
Telephone Number : 508-945-3131
Fax Number : 508-945-3132
Provider Business Practice Location Address
First Line : 60 MUNSON MEETING WAY
Second Line :
City : CHATHAM
State : MA
Zip : 02633-1992
Country : US
Telephone Number : 508-945-3131
Fax Number : 508-945-3132
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/17/2006
Last Update Date : 07/08/2007

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Directions to “ DR. MITCHELL SCOTT TISHLER DC” Practice Location

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