Individual
PAUL CONRAD BROOKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
2 GROVE ST., NORWAY, ME 04268-0048
(207) 743-8471
(207) 743-3979
Mailing address
PO BOX 48, NORWAY, ME 04268-0048
(207) 743-8471
(207) 743-3979
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CR853
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
014273
ANTHEM
ME
01
—
620156301
CIGNA
ME
Enumeration date
02/12/2007
Last updated
10/29/2012
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