Individual
WENDY POLLOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
83 INDIA ST, PORTLAND, ME 04101-4210
(207) 370-8330
Mailing address
PO BOX 8406, PORTLAND, ME 04104-8406
(207) 370-8330
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
011475
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
022665
ANTHEM
—
01
—
114150000
MAINE CARE
—
05
—
114150000
—
ME
01
—
200941097
TAX ID
—
01
—
4414946
AETNA
—
01
—
CR620
LICENSE
—
01
—
M51022
CIGNA
—
01
—
MNT021
HARVARD PILGRIM
—
Enumeration date
12/12/2005
Last updated
04/16/2018
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