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Individual

TED W ROGERS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DC

Contact information

Practice address
744 ROOSEVELT TRAIL, WINDHAM CROSSING SUITE 205, WINDHAM, ME 04062
(207) 892-5430
Mailing address
744 ROOSEVELT TRAIL, WINDHAM CROSSING SUITE 205, WINDHAM, ME 04062
(207) 892-5430

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CR584
ME
171100000X
Acupuncturist
CRA1195
ME

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
229360000
ME
Enumeration date
09/27/2006
Last updated
04/18/2025
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