Individual
BENJAMIN PHILIP PUSHARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
270 WILSON ST, SAME, BREWER, ME 04412-1548
(207) 989-4401
Mailing address
270 WILSON ST, BREWER, ME 04412-1548
(207) 989-4401
Taxonomy
Speciality
Code
Description
License number
State
111NS0005X
Sports Physician Chiropractor
Primary
CR2036
ME
Other
Enumeration date
08/06/2018
Last updated
08/06/2018
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