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Organization

SPINE BY DESIGN INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. THOMAS J WHITE D.C. (PRESIDENT)
(207) 226-1932
Entity
Organization

Contact information

Practice address
60 WESTERN AVE, STE 3-234, AUGUSTA, ME 04330-6338
(207) 226-1932
(888) 965-5221
Mailing address
60 WESTERN AVE, STE 3-234, AUGUSTA, ME 04330-6338
(207) 226-1932
(888) 965-5221

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CR1543
ME

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1174728315
NPI
01
CR1543
MAINE CHIROPRACTIC LICENSE
ME
Enumeration date
03/14/2017
Last updated
03/14/2017
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