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SPG PC NPI 1235476011


NPI Information

NPI: 1235476011
Provider Name: SPG PC

Doing Business As: BACK ON TRACK WELLNESS

Classification: Chiropractor - 111N00000X
Entity Type: Organization
Address:
260 WESTERN AVE
SOUTH PORTLAND, ME
ZIP 04106
Phone: (207) 899-0806
Get Directions

SPG PC is a chiropractor in South Portland, ME. The provider is a provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. SPG PC NPI is 1235476011. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Is Doing Business As Back On Track Wellness.

The provider's business location address is:

260 WESTERN AVE
SOUTH PORTLAND, ME
ZIP 04106-432
Phone: (207) 899-0806

The provider's authorized official is Sara J Littlefield .
The authorized official title is Owner and has the following contact phone number (207) 899-0806.

The enumeration date for this NPI number is 1/14/2013 and was last updated on 1/14/2013.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1111N00000XChiropractorCR1368MAINEYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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