Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NS0005X | Chiropractic Sports Physician | 1416 | MA |
NPI | 1275725350 |
---|---|
Provider Name | Dr. David Lee Carnabuci |
First Address | Plainville, MA 02762-2271 |
Second Address | Plainville, MA 02762-2271 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 13/08/2007 |
Last Update Date | 18/07/2008 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1613693 | (05) | MA |
5426420 | AETNA (01) | MA |
9550667 | CIGNA (01) | MA |
AA100189 | HARVARD PILGRIM (01) | MA |
Y36002 | BCBS (01) | MA |