Individual
DR. JAMES IANNETTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
287 E MAIN ST, DOVER FOXCROFT, ME 04426-1221
(207) 564-3120
(207) 564-2909
Mailing address
287 E MAIN ST, DOVER FOXCROFT, ME 04426-1221
(207) 564-3120
(207) 564-2909
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CR549
ME
111N00000X
Chiropractor
DC003198R
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
048001
ANTHEM
ME
05
—
110590000
—
ME
01
—
5096254
AETNA
ME
Enumeration date
07/19/2007
Last updated
07/19/2007
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