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Contact Information

BRIDGTON CHIROPRACTIC CENTER, INC.
55 PORTLAND RD
BRIDGTON, ME04009-1230
 Phone: 207-647-3504
 Fax: 207-647-5862
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Sports Physician

111NS0005X 35 Chiropractic
Indicates primary specialty

NPI Profile & details for BRIDGTON CHIROPRACTIC CENTER, INC.

NPI # 1790795193
LBN Legal business name BRIDGTON CHIROPRACTIC CENTER, INC.
Authorized official STEWART SULLOWAY - (DOCTOR OF CHIROPRACTIC, PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 08/08/2006
Last updated 08/22/2020 - About 6 years ago
Identifiers
ME License # CR755
Other 234252 AETNA #
Other M20915 CIGNA #
ME Other 039429 ANTHEM/BCBS #
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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