Organization
CHIROPRACTIC HEALING ARTS CENTER, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FAWN RAE DUNPHY D.C. (OWNER)
(207) 799-0972
Entity
Organization
Contact information
Practice address
85 E ST, S PORTLAND, ME 04106-2870
(207) 799-0972
(207) 799-4966
Mailing address
85 E ST, S PORTLAND, ME 04106-2870
(207) 799-0972
(207) 799-4966
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CR1163
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
025865
ANTHEM BC/BS
ME
01
—
6744257
CIGNA
ME
01
—
7893020
AETNA
ME
Enumeration date
04/23/2008
Last updated
01/22/2009
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