Organization
LIFE SOURCE FAMILY CHIROPRACTIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MEGAN PINKHAM D.C. (CO-OWNER)
(207) 667-5432
Entity
Organization
Contact information
Practice address
24 CHURCH ST, ELLSWORTH, ME 04605-1913
(207) 667-5432
(207) 667-5435
Mailing address
24 CHURCH ST, ELLSWORTH, ME 04605-1913
(207) 667-5432
(207) 667-5435
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CR2285
ME
111N00000X
Chiropractor
CR2292
ME
Other
Enumeration date
07/03/2015
Last updated
07/03/2015
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