Alive & Well Chiropractic, Inc

Organization Active NPI Chiropractor · Reading, MA

NPI 1295919942 · NPPES record last updated Oct 25, 2023

Key facts

NPI
1295919942
Entity type
Organization (NPI type 2)
Primary specialty
Chiropractor 111N00000X
License
250259 (MA)
Legal business name
ALIVE & WELL CHIROPRACTIC, INC
Practice address
2 Linden St
Reading, MA 01867-2940
Phone
(781) 942-7121
NPI assigned
Dec 18, 2007
Organization subpart
No

Authorized official

Name
Dr. Anne Marie Marcellino, D.C. , C.C.E.P.
Title
Chiropractor
Phone
(781) 942-7121

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Enrolled in MA

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20081215000722 MA Part B Supplier - Clinic/Group Practice 7517029291 Receives reassigned benefits from 1 practitioner
Practice locations: Reading, MA

National Provider Directory

Locations

2 Linden St
Reading, MA 01867
Phone (781) 942-7121

2 Linden St
Ste 101
Reading, MA 01867
Phone (781) 942-7121

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor
Group: 193400000X SINGLE SPECIALTY GROUP
111N00000X 250259 MA Yes

Addresses

Primary practice location

2 Linden St
Reading, MA 01867-2940

Mailing address

2 Linden St
Reading, MA 01867
Phone (781) 942-7121

Other identifiers

IdentifierTypeStateIssuer
Y40032OtherMABLUE CROSS BLUE SHIELD

Other providers in Reading, MA

All providers in Reading, MA · Chiropractor in Massachusetts

Sources for this page

Verify at the official NPI Registry.