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Organization

NEWPORT CHIROPRACTIC HEALTH CENTER

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. MICHAEL S SAULTER D.C. (OWNER S CORPORATION)
(207) 368-4318
Entity
Organization

Contact information

Practice address
8 MAIN ST, SUITE S, NEWPORT, ME 04953-4157
(207) 368-4318
(207) 368-5224
Mailing address
PO BOX 367, NEWPORT, ME 04953-0367
(207) 368-4318
(207) 368-5224

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CR880
ME

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0000418
MEDICARE GROUP ID
ME
01
015712
ANTHEM BC BS
ME
01
1042422
AETNA
ME
01
10903690
CAQH PROVIDER NUMBER
ME
05
129380000
ME
01
350029711
RR MEDICARE, PALMETTO GBA
ME
01
CM2240
RR MEDICARE GROUP ID
ME
01
M22331
CIGNA HEALTH CARE
ME
01
MNT164
HARVARD PILGRIM
ME
Enumeration date
04/02/2007
Last updated
07/06/2012
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