Paul Antoni Kowacki, DC
Individual provider Active NPI Chiropractor · Orange, MA
NPI 1629136981 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1629136981
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Chiropractor 111N00000X
- License
- 928 (MA)
- Practice address
- 28 North Main St
Orange, MA 01364-0118 - Phone
- (978) 544-7902
- Fax
- (978) 544-7902
- NPI assigned
- Dec 5, 2006
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 928 | MA | MD | Physician Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 928 | MA | Yes |
Addresses
Primary practice location
28 North Main St
Orange, MA 01364-0118
Mailing address
28 North Main St
PO Box 118
Orange, MA 01364-0118
Phone (978) 544-7902
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 727902 | Other | TUFTS | |
| 1602713 | Medicaid | MA | |
| 2993701 | Other | AETNA | |
| 18961 | Other | CIGNA | |
| 350264 | Other | HARVARD PILGRIM | |
| 612073 | Other | ACN GROUP | |
| 46234 | Other | FALLON | |
| 4403000 | Other | UNITED HEALTH PLANS OF NE |
Other providers in Orange, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.