Bridgton Chiropractic Center, Inc. in Bridgton - Sports Physician
Bridgton Chiropractic Center, Inc. - NPI 1790795193
Bridgton Chiropractic Center, Inc. is a Sports Physician in Bridgton, Maine. Bridgton Chiropractic Center, Inc. practices all healthcare services and medical treatments related to Sports Physician. The NPI Number for Bridgton Chiropractic Center, Inc. is 1790795193. The last update date is 2020-08-22.
Bridgton Chiropractic Center, Inc.'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 Bridgton Chiropractic Center, Inc. is 55 Portland Rd, Bridgton, Maine. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Bridgton Chiropractic Center, Inc. |
|---|---|
| Address | 55 Portland Rd, Bridgton, Maine |
| Phone Number | 2076473504 |
| Fax Number | 2076475862 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | DOCTOR OF |
|---|---|
| Authorized Official Name | Sulloway Estabrook Stewart |
| Credentials | D.C. |
| Telephone Number | 2076473504 |
NPI Number Detail
| NPI Number | 1790795193 |
|---|---|
| Provider Enumeration Date | 2006-08-08 |
| Last Updated Date | 2020-08-22 |
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 | Sports Physician |
|---|---|
| Taxonomy | 111Ns0005X |
| Licence No | CR755 |
|
Definition: A sports chiropractor is uniquely trained to provide care and treatment of injuries or illness resulting from sports and physical fitness activities. Doctors of Chiropractic with the Diplomate American Chiropractic Board of Sports Physicians (DACBSP) |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| M20915 | CIGNA # | ||
| 234252 | AETNA # | ||
| 39429 | ME | ANTHEM/BCBS # |
Post Comment/ Review Below
What is the unique identification code assigned to Bridgton Chiropractic Center, Inc. by the Centers for Medicare & Medicaid Services?
The Bridgton Chiropractic Center, Inc. has been issued the NPI (National Provider Identifier) 1790795193. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Bridgton Chiropractic Center, Inc.'s facilities are geographically located?
The facilities of Bridgton Chiropractic Center, Inc. are physically situated at the following location: 55 Portland Rd, Bridgton, ME, 40091230.
What is the Bridgton Chiropractic Center, Inc.'s specialty and taxonomy code?
The Bridgton Chiropractic Center, Inc.'s specialty is Sports Physician, and the corresponding taxonomy code is 111Ns0005X.
On what date did the Centers for Medicare & Medicaid Services assign the 1790795193 to Bridgton Chiropractic Center, Inc.?
The Centers for Medicare & Medicaid Services assigned the 1790795193 to Bridgton Chiropractic Center, Inc. on 2006-08-08.
As of what date was the information pertaining to Bridgton Chiropractic Center, Inc., such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Bridgton Chiropractic Center, Inc., including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2020-08-22.
NPI Number: 1528061710
Address: 19 Nh Route 104, Meredith, NH