Provider Demographics
NPI:1871814525
Name:INNATE CHIROPRACTIC INC.
Entity type:Organization
Organization Name:INNATE CHIROPRACTIC INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:URVASHI
Authorized Official - Middle Name:
Authorized Official - Last Name:PATEL
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:978-961-0385
Mailing Address - Street 1:158 BRIDGE RD
Mailing Address - Street 2:UNIT A
Mailing Address - City:SALISBURY
Mailing Address - State:MA
Mailing Address - Zip Code:01952-2445
Mailing Address - Country:US
Mailing Address - Phone:978-961-0385
Mailing Address - Fax:978-961-0385
Practice Address - Street 1:158 BRIDGE RD
Practice Address - Street 2:UNIT A
Practice Address - City:SALISBURY
Practice Address - State:MA
Practice Address - Zip Code:01952-2445
Practice Address - Country:US
Practice Address - Phone:978-961-0385
Practice Address - Fax:978-961-0385
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-06-17
Last Update Date:2010-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA2834111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty