Organization
COASTAL CHIROPRACTIC INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPH A. REARDON D.C. (OWNER)
(207) 669-4434
Entity
Organization
Contact information
Practice address
11 BOWOIN MILL ISLAND, SUITE 130, TOPSHAM, ME 04086-0000
(207) 837-6545
Mailing address
5 CUSHMAN ST, AUGUSTA, ME 04330-7202
(207) 669-4434
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CR1267
ME
Other
Enumeration date
03/26/2010
Last updated
01/04/2011
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