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Organization
CORNERSTONE CHIROPRACTIC & REHABILITATION, PA
Active
Organization
CORNERSTONE CHIROPRACTIC & REHABILITATION, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GARRETT R LEWELLEN D.C. (PRESIDENT, OWNER)
(207) 828-8777
Entity
Organization
Contact information
Practice address
49 DARTMOUTH ST, SUITE A, PORTLAND, ME 04101-1700
(207) 828-8777
(207) 828-8778
Mailing address
50 COVE ST, SUITE 101, PORTLAND, ME 04101-2514
(207) 828-8777
(207) 828-8777
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CR 1311
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
022072
BCBS
ME
01
—
1092630
AETNA
ME
01
—
351404
HPHC
ME
01
—
8546678
CIGNA
ME
Enumeration date
01/31/2007
Last updated
06/21/2018
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