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NPI Code Detail

MEDICARE: JAMES MARTIN CORMIER DC

MEDICARE: JAMES MARTIN CORMIER 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
1111N00000XChiropractorCH-1855MA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1AA41500OTHERMAHPHC MA
2791471OTHERMATUFTS HEALTH PLAN
3Y36330OTHERMABCBS MA

General Provider Information

NPI Number : 1659422806
Entity Type Code : Individual
Provider Name (Legal Business Name) : JAMES MARTIN CORMIER DC
Provider Business Mailing Address
First Line : 114 MERRIAM AVE STE 202
Second Line :
City : LEOMINSTER
State : MA
Zip : 01453-3175
Country : US
Telephone Number : 978-345-1224
Fax Number : 978-345-1418
Provider Business Practice Location Address
First Line : 114 MERRIAM AVE STE 202
Second Line :
City : LEOMINSTER
State : MA
Zip : 01453-3175
Country : US
Telephone Number : 978-345-1224
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/15/2007
Last Update Date : 02/05/2021

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Directions to “ JAMES MARTIN CORMIER DC” Practice Location

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