Active Chiropractic Limited Liability Company Pa in Saco - Chiropractor

Active Chiropractic Limited Liability Company Pa - NPI 1013094291

Active Chiropractic Limited Liability Company Pa is a Chiropractor in Saco, Maine. Active Chiropractic Limited Liability Company Pa practices all healthcare services and medical treatments related to Chiropractor. The NPI Number for Active Chiropractic Limited Liability Company Pa is 1013094291. The last update date is 2015-07-08.

Active Chiropractic Limited Liability Company Pa's current location address is 439 Main St, Saco, Maine. You can contact this provider via phone number 2075718028 and fax number 8662138207. The mailing address for Active Chiropractic Limited Liability Company Pa is 439 Main St, Saco, Maine. To know further, please read the information below!

Provider Profile Detail

Provider Organization Active Chiropractic Limited Liability Company Pa
Address 439 Main St, Saco, Maine
Phone Number 2075718028
Fax Number 8662138207
Sole Proprietor --
Credentials --

Authorized Official

Title or Position OWNER
Authorized Official Name Reiche Thomas Brent
Credentials DC
Telephone Number 2075718028

NPI Number Detail

NPI Number 1013094291
Provider Enumeration Date 2006-11-01
Last Updated Date 2015-07-08

Provider Mailing Address Detail

Address 439 Main St
City Saco
State Maine (ME)
Post Code 40721528
Phone Number 2075718028
Fax Number 8662138207

Provider's Primary Taxonomy Detail

Speciality Chiropractor
Taxonomy 111N00000X
Licence No CR1313
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
U56702 ME HARVARD PILGRAM
20752 ME MEDICARE PTAN
22530 ME BLUE CROSS BLUE SHIELD
05Z044016ME02 ME FEDERAL EMPLOYEE PLANS

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FAQs about Active Chiropractic Limited Liability Company Pa

What is the unique identifier code issued to Active Chiropractic Limited Liability Company Pa by the Centers for Medicare & Medicaid Services?

The Active Chiropractic Limited Liability Company Pa has been assigned the NPI (National Provider Identifier) 1013094291. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).

Could you please share the complete physical address where Active Chiropractic Limited Liability Company Pa is geographically located?

The Active Chiropractic Limited Liability Company Pa is physically situated at the following location: 439 Main St, Saco, ME, 40721528.

What is Active Chiropractic Limited Liability Company Pa's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Active Chiropractic Limited Liability Company Pa's specialized field of practice is Chiropractor, and the corresponding taxonomy code that categorizes this area of specialization is 111N00000X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1013094291 to Active Chiropractic Limited Liability Company Pa?

The Centers for Medicare & Medicaid Services originally issued the 1013094291 to Active Chiropractic Limited Liability Company Pa on 2006-11-01.

As of what date were the Active Chiropractic Limited Liability Company Pa's details last updated?

The information pertaining to the Active Chiropractic Limited Liability Company Pa, including its address, specialty, and other details, was most recently updated on 2015-07-08.

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