Individual
MICHAEL G GOULDING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
12 REVERE ST, PORTLAND, ME 04103-4410
(207) 775-6782
(207) 775-3750
Mailing address
12 REVERE ST, PORTLAND, ME 04103-4410
(207) 775-6782
(207) 775-3750
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CR669
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0005433260
AETNA
ME
01
—
000822
ANTHEM
ME
01
—
1025479
AMERICAN REPUBLIC
ME
05
—
118550099
—
ME
01
—
350018055
RAILROAD MEDICARE
—
01
—
354401000
US DEPT DFEC
—
01
—
5611164
CIGNA
ME
01
—
V06225
HARVARD
ME
Enumeration date
08/10/2006
Last updated
10/14/2011
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