MEDICARE: DR. ROBERT CAPRILE 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
1	111N00000X	Chiropractor	1630	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	:	1700863800
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ROBERT CAPRILE DC

Provider Business Mailing Address
First Line	:	181 MAPLE STREET
Second Line	:
City	:	EAST LONGMEADOW
State	:	MA
Zip	:	01028-2753
Country	:	US
Telephone Number	:	413-525-6293
Fax Number	:	413-525-8817

Provider Business Practice Location Address
First Line	:	181 MAPLE STREET
Second Line	:
City	:	EAST LONGMEADOW
State	:	MA
Zip	:	01028-2753
Country	:	US
Telephone Number	:	413-525-6293
Fax Number	:	413-525-8817

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/29/2005
Last Update Date	:	09/27/2011

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Directions to “ DR. ROBERT CAPRILE DC” Practice Location

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