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Organization
FREEPORT INTEGRATED HEALTH CENTER, P.A.
Active
Organization
FREEPORT INTEGRATED HEALTH CENTER, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES A HENDRICKS D.C. (OWNER)
(207) 865-1183
Entity
Organization
Contact information
Practice address
174 S FREEPORT RD, SUITE 1F, FREEPORT, ME 04032-6145
(207) 865-1183
(207) 865-1183
Mailing address
174 S FREEPORT RD, SUITE 1F, FREEPORT, ME 04032-6145
(207) 865-1183
(207) 865-1183
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CR1164
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
038032
AETNA
ME
05
—
133220099
—
ME
01
—
1492459
ANTHEM
ME
01
—
9332788
CIGNA
ME
Enumeration date
06/20/2007
Last updated
12/31/2013
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