207 Chiropractic Pain Center, LLC
Clinic/Center in Bangor, ME. Organization (NPI-2).
NPI number1982142048
StatusActive
Last updated in NPPESFeb 8, 2017
Details
- NPI
- 1982142048
- Entity type
- Organization (NPI-2)
- Legal business name
- 207 Chiropractic Pain Center, LLC
- Organization subpart
- No
- Enumeration date
- Feb 8, 2017
- Last updated
- Feb 8, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261Q00000X | Clinic/Center | CR2341 | ME | Yes |
Practice location
43 Columbia StSuite 11
Bangor, ME 04401-6346
Phone 207-307-7413 · Fax 844-813-8498
Mailing address
43 Columbia StSuite 11
Bangor, ME 04401-6346
Phone 207-307-7413 · Fax 844-813-8498
Authorized official
Chuck Jonathan Leblanc
Owner
2073077413
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