Provider Demographics
NPI:1053435271
Name:DEBS, GEORGE A (DC)
Entity type:Individual
Prefix:MR
First Name:GEORGE
Middle Name:A
Last Name:DEBS
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 1:352 BOSTON TPKE
Mailing Address - Street 2:
Mailing Address - City:SHREWSBURY
Mailing Address - State:MA
Mailing Address - Zip Code:01545-3873
Mailing Address - Country:US
Mailing Address - Phone:508-425-3304
Mailing Address - Fax:508-425-3306
Practice Address - Street 1:352 BOSTON TPKE
Practice Address - Street 2:
Practice Address - City:SHREWSBURY
Practice Address - State:MA
Practice Address - Zip Code:01545-3873
Practice Address - Country:US
Practice Address - Phone:508-425-3304
Practice Address - Fax:508-425-3306
Is Sole Proprietor?:No
Enumeration Date:2007-03-16
Last Update Date:2013-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA924111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
MADEY39118OtherBCBS GROUP
MADEY35637OtherBCBS INDIVIDUAL
MA727298OtherTUFTS
MADEY39118OtherBCBS GROUP
MA727298OtherTUFTS