Organization
CORNISH FAMILY CHIROPRACTIC PA,
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ADAM SHAW MCBRIDE D.C. (OWNER, PRESIDENT)
(207) 625-8100
Entity
Organization
Contact information
Practice address
202 MAPLE ST, SUITE A, CORNISH, ME 04020
(207) 625-8100
(207) 625-8100
Mailing address
PO BOX 466, CORNISH, ME 04020-0466
(207) 625-8100
(207) 625-8900
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CR1306
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
052042378ME02
ANTHEM BLUE CROSS
ME
01
—
061116
ANTHEM BLUE CROSS
ME
01
—
1336109271
INDIVIDUAL PRACTITIONER N.P.I.
ME
01
—
AA10887
HARVARD PILGRIM HEALTCARE
ME
Enumeration date
04/10/2008
Last updated
12/10/2012
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