Thomas J Vanidestine in Bangor - Chiropractor
Thomas J Vanidestine - NPI 1538108022
Thomas J Vanidestine is a Chiropractor in Bangor, Maine. Thomas J Vanidestine practices all healthcare services and medical treatments related to Chiropractor. The NPI Number for Thomas J Vanidestine is 1538108022. The last update date is 2016-12-01.
Thomas J Vanidestine's current location address is 336 Mount Hope Ave, Bangor, Maine. You can contact this provider via phone number 2079422800 and fax number 2079902362. The mailing address for Thomas J Vanidestine is 336 Mount Hope Ave, Bangor, Maine. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Thomas J Vanidestine |
|---|---|
| Address | 336 Mount Hope Ave, Bangor, Maine |
| Phone Number | 2079422800 |
| Fax Number | 2079902362 |
| Sole Proprietor | Y |
| Credentials | DC, CCSP |
NPI Number Detail
| NPI Number | 1538108022 |
|---|---|
| Provider Enumeration Date | 2006-06-06 |
| Last Updated Date | 2016-12-01 |
Provider Mailing Address Detail
| Address | 336 Mount Hope Ave |
|---|---|
| City | Bangor |
| State | Maine (ME) |
| Post Code | 44014236 |
| Phone Number | 2079422800 |
| Fax Number | 2079902362 |
Provider's Primary Taxonomy Detail
| Speciality | Chiropractor |
|---|---|
| Taxonomy | 111N00000X |
| Licence No | CR814 |
|
Definition: A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its inte |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1039 | ME | BLUE CROSS/ANTHEM | |
| 121660000 | ME | -- | |
| 121660099 | ME | -- | |
| 5734579 | ME | CIGNA | |
| 5314274 | ME | AETNA | |
| P00282285 | ME | RAILROAD MEDICARE | |
| 610664 | ME | GREAT WEST/ACN | |
| 68974 | ME | FIRST HEALTH | |
| MN0080 | ME | HARVARD PILGRIM |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Thomas J Vanidestine by the Centers for Medicare & Medicaid Services?
The Thomas J Vanidestine has been assigned the NPI (National Provider Identifier) 1538108022 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please share the complete physical address where Thomas J Vanidestine is geographically located?
The Thomas J Vanidestine is physically situated at the following location: 336 Mount Hope Ave, Bangor, ME, 44014236.
What is the Thomas J Vanidestine's area of specialization and corresponding taxonomy classification?
The Thomas J Vanidestine's specialty field is Chiropractor, and it falls under the taxonomy code 111N00000X, which categorizes healthcare providers based on their specialties.
When did Thomas J Vanidestine receive its 1538108022 assignment?
The Thomas J Vanidestine was assigned its 1538108022 on 2006-06-06, which is the date when this unique identifier was issued to the organization.
As of what date were the details related to Thomas J Vanidestine most recently updated or revised?
The information pertaining to Thomas J Vanidestine, including its address, specialty, and other relevant details, was last updated or revised on 2016-12-01.
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