Estabrook Sulloway, D.C.
LBN: Bridgton Chiropractic Center, Inc.
Estabrook Sulloway, D.C. is an health care organization with primary practice located at 55 Portland Rd , Bridgton ME 04009-1230. The organization recently has only one registered license in Chiropractic Providers / Sports Physician, which is considered as the primary health care specialty.
Bridgton Chiropractic Center, Inc. can be contacted via phone (207) 647-3504, or through Sulloway, Stewart Estabrook via phone (207) 647-3504.
Contact Information
Primary practice address
55 Portland Rd
Bridgton ME 04009-1230
Phone: (207) 647-3504
Fax: (207) 647-5862
Website:
Authorized official contact:
Name: Sulloway, Stewart Estabrook Doctor of Chiropractic (DC)
Phone: (207) 647-3504
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Chiropractic Providers / Sports Physician | 111NS0005X | CR755 | Maine |
Profile Details
NPI number | 1790795193 |
---|---|
LBN Legal business name | Bridgton Chiropractic Center, Inc. |
DBA Doing business as | Estabrook Sulloway, D.C. |
Authorized official | Sulloway, Stewart Estabrook Doctor of Chiropractic (DC) |
Entity | Organization |
Organization subpart 1 | No |
Enumeration date | Aug 8th, 2006 |
Last updated | Aug 22nd, 2020 - about 4 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1790795193 | NPPES |
Other | M20915 | CIGNA # | |
Other | 234252 | CIGNA # | |
Other | 039429 | CIGNA # |
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