Jeffrey Neil Berube, DC

Individual provider Active NPI Chiropractor · North Reading, MA

NPI 1669574349 · NPPES record last updated Mar 30, 2010

Key facts

NPI
1669574349
Entity type
Individual (NPI type 1)
Primary specialty
Chiropractor 111N00000X
License
CH2018 (MA)
Practice address
203 A Main Street
North Reading, MA 01864
Phone
(978) 664-0610
Fax
(978) 664-0723
NPI assigned
Sep 2, 2006
Sex
Male
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
CH2018MAMDChiropractor

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH2018 MA Yes

Addresses

Primary practice location

203 A Main Street
North Reading, MA 01864

Mailing address

352 Park St
Suite 103
North Reading, MA 01864-2164
Phone (978) 664-0610

Other identifiers

IdentifierTypeStateIssuer
1613863MedicaidMA

Other providers in North Reading, MA

All providers in North Reading, MA · Chiropractor in Massachusetts

Sources for this page

Verify at the official NPI Registry.