Lewellen, Amy Mooney

Lewellen, Amy Mooney is an sole proprietor health care provider with primary practice located at 50 Cove St Suite A, Portland ME 04101-2514. She recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as her primary health care specialty. Lewellen, Amy Mooney can be contacted via phone (207) 828-8777.

Contact Information

Primary practice address
50 Cove St Suite A Portland ME 04101-2514
Phone: (207) 828-8777
Fax: (207) 828-8778
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 2455 Massachusetts
Chiropractic Providers / Chiropractor 111N00000X CR1393 Maine

Profile Details

NPI number 1003993627
LBN Legal business name Lewellen, Amy Mooney
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 1st, 2006
Last updated Nov 30th, 2015 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1003993627 NPPES
Massachusetts Other 1049468 ASHN
Massachusetts Other 4402698 ASHN
Massachusetts Other 022182 ASHN
Massachusetts Other 2146577 ASHN
Massachusetts Other 351399 ASHN
Massachusetts Other 1003993627 ASHN
Massachusetts Other Y36775 ASHN
Massachusetts Other 0630793200 ASHN
Massachusetts Other 2503521 ASHN

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