Thomas J Vanidestine Jr in Bangor - Chiropractor

Thomas J Vanidestine Jr - NPI 1487600011

Thomas J Vanidestine Jr is a Chiropractor in Bangor, Maine. Thomas J Vanidestine Jr practices all healthcare services and medical treatments related to Chiropractor. The NPI Number for Thomas J Vanidestine Jr is 1487600011. The last update date is 2017-03-16.

Thomas J Vanidestine Jr'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 Jr is 336 Mount Hope Ave, Bangor, Maine. To know further, please read the information below!

Provider Profile Detail

Provider Organization Thomas J Vanidestine Jr
Address 336 Mount Hope Ave, Bangor, Maine
Phone Number 2079422800
Fax Number 2079902362
Sole Proprietor --
Credentials --

Authorized Official

Title or Position OWNER
Authorized Official Name Vanidestine J Thomas
Credentials DC
Telephone Number 2079422800

NPI Number Detail

NPI Number 1487600011
Provider Enumeration Date 2006-05-25
Last Updated Date 2017-03-16

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
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

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FAQs about Thomas J Vanidestine Jr

What is the Thomas J Vanidestine Jr's unique identification number?

The Thomas J Vanidestine Jr has been assigned the NPI (National Provider Identifier) Number 1487600011 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you please provide the complete physical location address of Thomas J Vanidestine Jr?

The Thomas J Vanidestine Jr is physically situated at 336 Mount Hope Ave, in the city of Bangor, state of ME, with the postal code 44014236.

What is Thomas J Vanidestine Jr's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Thomas J Vanidestine Jr's specialized field of practice is Chiropractor, and the corresponding taxonomy code that categorizes this area of specialization is 111N00000X.

When did the Thomas J Vanidestine Jr receive its 1487600011?

The Thomas J Vanidestine Jr was issued its 1487600011 on 2006-05-25, which is the date when the organization was assigned this unique identifier.

As of what date was the information pertaining to Thomas J Vanidestine Jr, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Thomas J Vanidestine Jr, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2017-03-16.

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