Organization
BRINK CHIROPRACTIC CLINIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER M DUDLEY (OFFICE MANAGER)
(207) 324-5753
Entity
Organization
Contact information
Practice address
1047 MAIN ST, SANFORD, ME 04073-3620
(207) 324-5753
(207) 324-8354
Mailing address
1047 MAIN ST, SANFORD, ME 04073-3620
(207) 324-5753
(207) 324-8354
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CR492
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0022059
MEDICARE PTAN
—
Enumeration date
10/18/2011
Last updated
03/09/2026
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