Richard R. Waller JR.
Chiropractor Orthopedic Specialist
563 Main St
Bolton
, Massachusetts 01740-1300
Richard R. Waller JR.
Chiropractor Orthopedic Specialist
563 Main St
Bolton
, Massachusetts 01740-1300
(978) 779-6034
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About
Features
Specialties
- Chiropractor Orthopedic Specialist
Languages spoken
- English
Location
First Address
- Richard R. Waller JR.
- 563 Main St
- Bolton, MA
- Zip : 01740-1300
- Fax : (978) 779-6034
- Phone : (978) 779-5539
Second Address
- Richard R. Waller JR.
- 563 Main St
- Bolton, MA
- Zip : 01740-1300
- Fax : (978) 779-6034
- Phone : (978) 779-5539
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 111NX0800X | Chiropractor Orthopedic Specialist | 881 | MA |
National Provider Identifier
| NPI | 1689661944 |
|---|---|
| Provider Name | Richard R. Waller JR. |
| First Address | Bolton, MA 01740-1300 |
| Second Address | Bolton, MA 01740-1300 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 03/10/2005 |
| Last Update Date | 20/08/2010 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 706089 | TUFTS HEALTH PLAN (01) | MA |
| T58319 | (02) | |
| WAY35658 | 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.