Provider Demographics
NPI:1447360516
Name:TANSEY, JOSEPH XAVIER (DC)
Entity type:Individual
Prefix:DR
First Name:JOSEPH
Middle Name:XAVIER
Last Name:TANSEY
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 251
Mailing Address - Street 2:205 MAIN STREET
Mailing Address - City:GROTON
Mailing Address - State:MA
Mailing Address - Zip Code:01450-0251
Mailing Address - Country:US
Mailing Address - Phone:978-448-2800
Mailing Address - Fax:978-448-9531
Practice Address - Street 1:205 MAIN ST
Practice Address - Street 2:
Practice Address - City:GROTON
Practice Address - State:MA
Practice Address - Zip Code:01450-1235
Practice Address - Country:US
Practice Address - Phone:978-448-2800
Practice Address - Fax:978-448-9531
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-30
Last Update Date:2008-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA1641111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
Y36236Medicare ID - Type Unspecified
U38435Medicare UPIN