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Organization
OLD ORCHARD BEACH CHIROPRACTIC, INC.
Active
Organization
OLD ORCHARD BEACH CHIROPRACTIC, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROY STEPHEN BRYANT III D.C. (OWNER)
(207) 934-4600
Entity
Organization
Contact information
Practice address
155 SACO AVE STE A2, OLD ORCHARD BEACH, ME 04064-1600
(207) 934-4600
(207) 934-4606
Mailing address
155 SACO AVE STE A2, OLD ORCHARD BEACH, ME 04064-1600
(207) 934-4600
(207) 934-4606
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CR1354
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
023110
BLUE CROSS BLUE SHIELD
ME
Enumeration date
05/03/2007
Last updated
01/29/2008
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