Organization
WELL SPRING HEALTH CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EVA BOWERS SHAY DO (OWNER)
(207) 764-6880
Entity
Organization
Contact information
Practice address
830 MAIN ST, SUITE 20, PRESQUE ISLE, ME 04769-2276
(207) 764-6880
(207) 764-0427
Mailing address
830 MAIN ST, SUITE 20, PRESQUE ISLE, ME 04769-2276
(207) 764-6880
(207) 764-0427
Taxonomy
Speciality
Code
Description
License number
State
204D00000X
Neuromusculoskeletal Medicine & OMM Physician
Primary
1607
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
022895
ANTHEM BCBS
ME
05
—
410380000
—
ME
Enumeration date
07/05/2006
Last updated
01/13/2010
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