Stewart Estabrook Sulloway in Bridgton - Rehabilitation

Stewart Estabrook Sulloway - NPI 1326251547

Stewart Estabrook Sulloway is a Rehabilitation in Bridgton, Maine. Stewart Estabrook Sulloway practices all healthcare services and medical treatments related to Rehabilitation. The NPI Number for Stewart Estabrook Sulloway is 1326251547. The last update date is 2007-07-08.

Stewart Estabrook Sulloway's current location address is 55 Portland Rd, Bridgton, Maine. You can contact this provider via phone number 2076473504 and fax number 2076475862. The mailing address for Stewart Estabrook Sulloway is 55 Portland Rd, Bridgton, Maine. To know further, please read the information below!

Provider Profile Detail

Provider Name Stewart Estabrook Sulloway
Address 55 Portland Rd, Bridgton, Maine
Phone Number 2076473504
Fax Number 2076475862
Sole Proprietor N
Credentials D.C.

NPI Number Detail

NPI Number 1326251547
Provider Enumeration Date 2007-05-07
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 55 Portland Rd
City Bridgton
State Maine (ME)
Post Code 40091230
Phone Number 2076473504
Fax Number 2076475862

Provider's Primary Taxonomy Detail

Speciality Rehabilitation
Taxonomy 111Nr0400X
Licence No CR755
Definition:
Rehabilitation is the discipline focused on restoring a patient's functional abilities to pre-injury or pre-disease status. Functional abilities are defined as those activities in one's daily life, work, or sports and recreational activities that an

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
M20915 CIGNA
234252 AETNA
39429 ME BCBS

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FAQs about Stewart Estabrook Sulloway

What is the unique identification code assigned to Stewart Estabrook Sulloway by the Centers for Medicare & Medicaid Services?

The Stewart Estabrook Sulloway has been issued the NPI (National Provider Identifier) 1326251547. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you provide the complete physical address where Stewart Estabrook Sulloway is located?

The Stewart Estabrook Sulloway is situated at the following address: 55 Portland Rd, Bridgton, ME, 40091230.

What is Stewart Estabrook Sulloway's specialized field of practice, and what is the corresponding taxonomy classification code?

The Stewart Estabrook Sulloway's area of specialization is Rehabilitation, and the corresponding taxonomy code that categorizes this field of practice is 111Nr0400X.

On what date did the Stewart Estabrook Sulloway receive its 1326251547 assignment from the Centers for Medicare & Medicaid Services?

The Stewart Estabrook Sulloway was assigned its 1326251547 by the Centers for Medicare & Medicaid Services on 2007-05-07.

As of what date was the information regarding Stewart Estabrook Sulloway, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Stewart Estabrook Sulloway, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-08.

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