Whole Health Osteopathic Medicine
Neuromusculoskeletal Medicine & OMM in Portland, ME. Organization (NPI-2).
NPI number1164059978
StatusActive
Last updated in NPPESOct 14, 2020
Details
- NPI
- 1164059978
- Entity type
- Organization (NPI-2)
- Legal business name
- Whole Health Osteopathic Medicine
- Organization subpart
- No
- Enumeration date
- Mar 24, 2020
- Certification date
- Oct 14, 2020
- Last updated
- Oct 14, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 204D00000X | Neuromusculoskeletal Medicine & OMM | – | – | Yes |
Practice location
195 Fore River Pkwy Ste 407Portland, ME 04102-2780
Phone 207-749-6612
Mailing address
195 Fore River Pkwy Ste 407Portland, ME 04102-2780
Phone 207-749-6612
Authorized official
Stephen R Goldbas
Owner
2077496612
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All 18 Neuromusculoskeletal Medicine & OMM Physician providers in Portland · All 7,184 providers in Portland
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