Organization
WALDOBORO CHIROPRACTIC CENTER PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER HARVEY (MANAGER)
(207) 832-6347
Entity
Organization
Contact information
Practice address
290 BREMEN RD, WALDOBORO, ME 04572-0625
(207) 832-6347
(207) 832-4664
Mailing address
PO BOX 625, WALDOBORO, ME 04572-0625
(207) 832-6347
(207) 832-4664
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CR875
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
022301
ANTHEM
—
05
—
129130100
—
ME
Enumeration date
11/27/2006
Last updated
05/17/2011
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