Organization
BACK COVE FAMILY CHIROPRACTIC, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SCOTT MICHAEL GLOCKE D.C. (PRESIDENT)
(207) 846-5100
Entity
Organization
Contact information
Practice address
298 MAIN ST, YARMOUTH, ME 04096-6751
(207) 846-5100
Mailing address
298 MAIN ST, YARMOUTH, ME 04096-6751
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CR1326
ME
Other
Enumeration date
11/14/2007
Last updated
11/14/2007
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