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Organization
MICHAEL D & SHEILA H LITTLEFIELD
Active
Organization
MICHAEL D & SHEILA H LITTLEFIELD
Active
Other names
Mall Road Chiropractic Center
Organization subpart
No
Provider details
NPI number
Authorized official
SHEILA H LITTLEFIELD DC (PARTNER)
(207) 772-1031
Entity
Organization
Contact information
Practice address
118 MAINE MALL RD, SOUTH PORTLAND, ME 04106-2309
(207) 772-1031
(207) 774-9394
Mailing address
118 MAINE MALL ROAD, SOUTH PORTLAND, ME 04106-2309
(207) 772-1031
(207) 774-9394
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CR565
ME
111N00000X
Chiropractor
CR566
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
002304
BLUE CROSS BLUE SHEILD
ME
01
—
002305
BLUE CROSS BLUE SHEILD
ME
05
—
111990099
—
ME
05
—
111990199
—
ME
01
—
4404051
TAXONOMY
ME
01
—
4404052
TAXONOMY
ME
Enumeration date
01/09/2007
Last updated
06/30/2008
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