Organization
ACTIVE CARE CHIROPRACTIC, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT WILLIAM TENNEY (PRESIDENT)
(207) 623-3517
Entity
Organization
Contact information
Practice address
503 RIVERSIDE DR, AUGUSTA, ME 04330-3824
(207) 623-3517
(207) 623-3518
Mailing address
503 RIVERSIDE DR, AUGUSTA, ME 04330-3824
(207) 623-3517
(207) 623-3518
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CR1739
ME
Other
Enumeration date
06/20/2008
Last updated
09/16/2008
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