Dwight John Degeorge
Rehabilitation Chiropractor
200 Walnut St
Saugus
, Massachusetts 01906-1158
Dwight John Degeorge
Rehabilitation Chiropractor
200 Walnut St
Saugus
, Massachusetts 01906-1158
(781) 233-9740
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About
Features
Specialties
- Rehabilitation Chiropractor
Languages spoken
- English
Location
First Address
- Dwight John Degeorge
- 200 Walnut St
- Saugus, MA
- Zip : 01906-1158
- Fax : (781) 233-9740
- Phone : (781) 233-7110
Second Address
- Dwight John Degeorge
- 200 Walnut St
- Saugus, MA
- Zip : 01906-1158
- Fax : (781) 233-9740
- Phone : (781) 233-7110
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 111NR0400X | Rehabilitation Chiropractor | CH-1243 | MA |
National Provider Identifier
| NPI | 1285712489 |
|---|---|
| Provider Name | Dwight John Degeorge |
| First Address | Saugus, MA 01906-1158 |
| Second Address | Saugus, MA 01906-1158 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 02/11/2006 |
| Last Update Date | 08/07/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| Y35903 | BLUE CROSS BLUE SHIELD (01) | MA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.