Organization
GREATER PORTLAND CHIROPRACTIC, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KENNETH S CAYER D.C. (PRESIDENT)
(207) 883-6630
Entity
Organization
Contact information
Practice address
400 ENTERPRISE DR, SUITE 2, SCARBOROUGH, ME 04074-7639
(207) 883-6630
(207) 883-5996
Mailing address
PO BOX 546, SCARBOROUGH, ME 04070-0546
(207) 883-6630
(207) 883-5996
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CR1095
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
040997
ANTHEM PROVIDER ID
ME
01
—
1028021-001
CIGNA PAL
ME
01
—
2972657
AETNA HMO
ME
01
—
5547657
AETNA
ME
01
—
DJ63
HARVARD PILGRIM ID
ME
01
—
M25719
CIGNA ID
ME
Enumeration date
12/27/2006
Last updated
08/22/2020
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