Organization Name: | ULTRACARE, P.C. |
NPI Number: | 1992125215 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | SHANNON PACHECO (BILLING/CREDENTIALING) |
Mailing Address: | 157 Main St Brockton |
State: | MA US |
Postal Code: | 023014012 |
Phone Number: | 5085104221 |
Fax Number: | 5085105126 |
NPI Enumeration Date: | 04/25/2014 |
NPI Last Update Date: | 01/26/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 111N00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
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. |