Individual
DUSTIN A SLOCUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
26 BATH RD, SUITE #1, BRUNSWICK, ME 04011-2604
(207) 725-4222
(207) 319-7046
Mailing address
26 BATH RD, SUITE #1, BRUNSWICK, ME 04011-2604
(207) 725-4222
(207) 319-7046
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CR815
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
036888
ANTHEM
ME
05
—
122380000
—
ME
01
—
3000020
CIGNA HEALTHCARE
ME
01
—
MGD919
HARVARD PILGRIM
ME
Enumeration date
07/06/2006
Last updated
02/10/2009
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