MEDICARE: ACCESS FAMILY CHIROPRACTIC INC.

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	001876	CT
2	111N00000X	Chiropractor	1960	MA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1679745715
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ACCESS FAMILY CHIROPRACTIC INC.

Provider Business Mailing Address
First Line	:	770 CAREW ST
Second Line	:
City	:	SPRINGFIELD
State	:	MA
Zip	:	01104-1948
Country	:	US
Telephone Number	:	413-733-1181
Fax Number	:	413-733-6676

Provider Business Practice Location Address
First Line	:	770 CAREW ST
Second Line	:
City	:	SPRINGFIELD
State	:	MA
Zip	:	01104-1948
Country	:	US
Telephone Number	:	413-733-1181
Fax Number	:	413-733-6676

Authorized Official
Title or Position	:	OWNER
Name	:	RODNEY B THOMAS JR.
Credential	:	D.C.
Telephone Number	:	413-733-1181

Provider Enumeration Date	:	03/28/2008
Last Update Date	:	04/20/2011

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