Provider Demographics
NPI:1750996419
Name:KAROLINA LABOISSONNIERE, P.C
Entity type:Organization
Organization Name:KAROLINA LABOISSONNIERE, P.C
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/CHIROPRACTOR
Authorized Official - Prefix:
Authorized Official - First Name:KAROLINA
Authorized Official - Middle Name:ANNA
Authorized Official - Last Name:LABOISSONNIERE
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:508-250-6688
Mailing Address - Street 1:269 W MAIN ST
Mailing Address - Street 2:3B
Mailing Address - City:NORTHBOROUGH
Mailing Address - State:MA
Mailing Address - Zip Code:01532
Mailing Address - Country:US
Mailing Address - Phone:508-466-8007
Mailing Address - Fax:
Practice Address - Street 1:269 W MAIN ST
Practice Address - Street 2:3B
Practice Address - City:NORTHBOROUGH
Practice Address - State:MA
Practice Address - Zip Code:01532
Practice Address - Country:US
Practice Address - Phone:508-466-8007
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:KAROLINA LABOISSONNIERE, P.C
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2020-09-10
Last Update Date:2020-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty