Organization
MY LIFE WELL ADJUSTED LLC
Active
Other names
Bangor Family Chiropractic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEFFREY SLOCUM DC (OWNER)
(207) 307-7513
Entity
Organization
Contact information
Practice address
268 STATE ST STE 1, BANGOR, ME 04401-5417
(207) 307-7513
(207) 307-7553
Mailing address
164 MAIN ST STE 3, RICHMOND, ME 04357-4036
(207) 737-2482
(207) 737-2484
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CR912
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
132180000
—
ME
Enumeration date
05/09/2018
Last updated
09/27/2018
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