NPI 1639628555

Daniel Ceballos

Practitioner Chiropractor Southbridge, MA

Practice location

Address: 22 Goddard St, Southbridge, MA 01550-2482
Phone: (508) 505-5155
Mailing address: 155 Northland Dr, Medina, OH 44256-1534

Registered specialties

Chiropractor Primary

Chiropractic Providers Taxonomy 111N00000X Licence 3552 (MA)

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Registry record

NPI: 1639628555
Entity type: Individual
Sex (as registered): Male
NPI issued: 4 Oct 2016
Record last updated: 27 Sep 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.