Individual provider · Type 1 NPI
Andre P. Boulogne, DC
Chiropractor · Brighton, MA
NPI number
1225175458
Active
Practice location
167 Corey Road
Brighton, MA 02135
Fax (617) 731-3945
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor Primary | 111N00000X | 1878 (MA) |
Chiropractor: A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
Other chiropractor providers in Brighton
About NPI 1225175458
Andre P. Boulogne, DC's National Provider Identifier is 1225175458, issued on Jan 30, 2007. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Brighton, MA. The record was last updated on Jul 8, 2007.