Organization
CHIROPRACTIC MOBILE SERVICES,LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GREGORY A. GOLLIDAY D.C. (OWNER PROVIDER)
(207) 522-6801
Entity
Organization
Contact information
Practice address
18 DEER HL N, STANDISH, ME 04084-6368
(207) 522-6801
(207) 221-1299
Mailing address
PO BOX 538, STANDISH, ME 04084-0538
(207) 522-6801
(207) 221-1299
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CR1174
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
061478
ANTHEM BCBSME PROVIDER ID
ME
01
—
2076096
CIGNA PROVIDER ID
ME
01
—
7786093
AETNA PROVIDER ID
ME
01
—
AA35816
HARVARD PILGRIM PROVIDER
ME
Enumeration date
02/13/2007
Last updated
05/28/2010
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