DR. GARRETT RUSSELL LEWELLEN D.C. NPI 1255431755

NPI Information

NPI: 1255431755
Provider Name: DR. GARRETT RUSSELL LEWELLEN, D.C.
Classification: Chiropractor - 111N00000X
Entity Type: Individual
Address:
50 COVE ST
SUITE A
PORTLAND, ME
ZIP 04101
Phone: (207) 828-8777
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DR. Garrett Russell Lewellen, D.C. is a chiropractor in Portland, ME with 25 years of experience. 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. DR. Garrett Russell Lewellen, D.C. NPI is 1255431755. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: NEW YORK CHIROPRACTIC COLLEGE
Graduation Year:1999

The provider's business location address is:

50 COVE ST
SUITE A
PORTLAND, ME
ZIP 04101-514
Phone: (207) 828-8777
Fax: (207) 828-8778

The enumeration date for this NPI number is 9/24/2006 and was last updated on 11/30/2015.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	111N00000X	Chiropractor		2460	MASSACHUSETTS	No
2	111N00000X	Chiropractor		CR1311	MAINE	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	022072	OTHER	MAINE	ANTHEM PROVIDER NUMBER
2	351404	OTHER	MAINE	HARVARD PILGRAM PROVIDER
3	1255431755	OTHER	MAINE	MEDICARE PTAN UX2253
4	8546678	OTHER	MAINE	CIGNA PROVIDER #
5	ME0369	MEDICARE PIN	MAINE
6	1092630	OTHER	MAINE	AETNA PROVIDER NUMBER
7	55-0850500	OTHER	MAINE	MARCHIGONNE PROVIDER #
8	55-0850500	OTHER	MAINE	MEDNET/UHC PROVIDER #
9	ME0370	MEDICARE PIN	MAINE

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: 4/28/2024

NPI Synchronization or Removal

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