Organization
207 CHIROPRACTIC PAIN CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHUCK JONATHAN LEBLANC DC (OWNER)
(207) 307-7413
Entity
Organization
Contact information
Practice address
43 COLUMBIA ST, SUITE 11, BANGOR, ME 04401-6346
(207) 307-7413
(844) 813-8498
Mailing address
43 COLUMBIA ST, SUITE 11, BANGOR, ME 04401-6346
(207) 307-7413
(844) 813-8498
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
CR2341
ME
Other
Enumeration date
02/08/2017
Last updated
02/08/2017
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