Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111N00000X | Chiropractor | 503 | MA |
NPI | 1003871674 |
---|---|
Provider Name | David G Macdonald |
First Address | Falmouth, MA 02541 |
Second Address | Falmouth, MA 02540 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 18/04/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
35239 | HARVARD PILGRIM (01) | MA |
762446 | TUFTS (01) | MA |
T58116 | (02) | MA |
Y35335 | BLUE SHEILD OF MA (01) | MA |