Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. THOMAS J VANIDESTINE JR., DC, CCSP
Active Sole ProprietorDR. THOMAS J VANIDESTINE JR., DC, CCSP is a Chiropractor healthcare provider located in BANGOR, Maine. NPI 1538108022 is currently active in the NPPES registry. Verify at CMS.
Chiropractor · BANGOR, ME
Registration Details
- NPI Number
- 1538108022
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 6, 2006 (20.161870229919 yrs)
- Last Updated
- Dec 1, 2016
- License
-
CR814 (ME)
- Sole Proprietor
- Yes
Practice Information
- Address
-
336 MOUNT HOPE AVESUITE 11BANGOR, ME, 044014236Browse ME providers · Browse ZIP 04401
- Phone
- 2079422800
- Fax
- 2079902362
- Primary Specialty
-
Chiropractor
111N00000X
Other Chiropractor Providers in BANGOR, ME
| Name | Credential | NPI |
|---|---|---|
| DAVID HARLAN BJORK | DC | 1093702482 |
| DR. LEO M. YAPSUGA | R.PH., D.C. | 1184699548 |
| PATRICIA L CLINE | DC | 1053353482 |
| DR. BRUCE PACKARD | D.C. | 1407884570 |
| RICHARD M. BRUNS | D.C. | 1841219029 |
| DR. ROBIN WILLIAM GOODEN | D.C. | 1164438917 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.