Organization
MERET C BAINBRIDGE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MERET C BAINBRIDGE L.AC., M.A.A.O.M. (L.AC.)
(207) 838-2413
Entity
Organization
Contact information
Practice address
35 STORER ST, SACO, ME 04072
(207) 838-2413
(207) 994-2164
Mailing address
35 STORER ST, SACO, ME 04072-2718
(207) 838-2413
(207) 994-2164
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC 160
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1447520812ME
ANTHEM OF MAINE MEDICARE DEPARTMENT
ME
01
—
50ME02683ME01
ANTHEM OF MAINE
LA
Enumeration date
01/03/2012
Last updated
08/17/2018
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