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Organization

MICHAEL D & SHEILA H LITTLEFIELD

Active
Other names
Mall Road Chiropractic Center
Organization subpart
No

Provider details

NPI number
Authorized official
SHEILA H LITTLEFIELD DC (PARTNER)
(207) 772-1031
Entity
Organization

Contact information

Practice address
118 MAINE MALL RD, SOUTH PORTLAND, ME 04106-2309
(207) 772-1031
(207) 774-9394
Mailing address
118 MAINE MALL ROAD, SOUTH PORTLAND, ME 04106-2309
(207) 772-1031
(207) 774-9394

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CR565
ME
111N00000X
Chiropractor
CR566
ME

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
002304
BLUE CROSS BLUE SHEILD
ME
01
002305
BLUE CROSS BLUE SHEILD
ME
05
111990099
ME
05
111990199
ME
01
4404051
TAXONOMY
ME
01
4404052
TAXONOMY
ME
Enumeration date
01/09/2007
Last updated
06/30/2008
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