Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NX0800X | Chiropractor Orthopedic Specialist | 1574 | MA |
NPI | 1386781441 |
---|---|
Provider Name | Dr. Paul Joseph Holmes |
First Address | Wakefield, MA 01880-1532 |
Second Address | Wakefield, MA 01880-1309 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 30/01/2007 |
Last Update Date | 08/07/2007 |