Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111N00000X | Chiropractor | 1577 | MA |
N | 111NX0800X | Chiropractor Orthopedic Specialist | 1577 | MA |
NPI | 1538309000 |
---|---|
Provider Name | Dr. William Michael Rice |
First Address | Jamaica Plain, MA 02130-4103 |
Second Address | Jamaica Plain, MA 02130-4103 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 24/02/2009 |
Last Update Date | 24/02/2009 |