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Contact Information

THOMAS WILLERSON
1385 CONGRESS ST
PORTLAND, ME04102-2120
 Phone: 207-874-2225
 Fax: 207-874-2225
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Occupational Health

111NX0100X 35 Chiropractic
Indicates primary specialty

NPI Profile & details for THOMAS WILLERSON · (Male)

NPI Number 1548310485
Status Active
Credentials
Entity Individual
Enumeration date 01/11/2007
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 No
Identifiers
  • ME License # CR859
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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