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Active Organization

Chiropractor · SOUTH PORTLAND, ME

Registration Details

NPI Number
1205063724
Provider Type
Organization
NPI Issued
Jun 11, 2009 (16.880957075972 yrs)
Last Updated
Jun 11, 2009
License
CR1368 (ME)

Practice Information

Address
209 WESTERN AVE UNIT G
SOUTH PORTLAND, ME, 041062452
Browse ME providers · Browse ZIP 04106
Phone
2078990806
Fax
2078990817
Primary Specialty
Chiropractor
111N00000X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.