Doctor Name: | DR. JEFFREY NEIL BERUBE |
NPI Number: | 1669574349 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | DC |
License Number: | CH2018 |
Business Practice Address: | 203 A Main Street North Reading, MA - 01864 |
Business Phone Number: | 9786640610 |
Business Fax Number: | 9786640723 |
Mailing Address: | 352 Park St, Suite 103 NORTH READING |
State: | MA |
Postal Code: | 018642164 |
Phone Number: | 9786640610 |
Fax Number: | 9786640723 |
NPI Enumeration Date: | 09/02/2006 |
NPI Last Update Date: | 03/30/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 111N00000X |
License Number: | CH2018 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MA |
Taxonomy Type: | Chiropractic Providers |
Taxonomy Classification: | Chiropractor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |