Organization
CHANDRA SASSEVILLE DC PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ROBYN L COLEMAN (OFFICE MANAGER)
(207) 777-3333
Entity
Organization
Contact information
Practice address
416 SABATTUS ST, LEWISTON, ME 04240-5430
(207) 777-3333
(207) 786-8921
Mailing address
416 SABATTUS ST, LEWISTON, ME 04240-5430
(207) 777-3333
(207) 786-8921
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
ME421903
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
022631
ANTHEM
ME
01
—
0474865
CIGNA
—
01
—
172742100
HARVARD PILGRIM
ME
01
—
3435525
AETNA
ME
01
—
87726
UNITED HEALTHCARE
—
Enumeration date
06/26/2008
Last updated
12/09/2014
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