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MY LIFE WELL ADJUSTED LLC NPI 1699264143


NPI Information

NPI: 1699264143
Provider Name: MY LIFE WELL ADJUSTED LLC

Doing Business As: BANGOR FAMILY CHIROPRACTIC

Classification: Chiropractor - 111N00000X
Entity Type: Organization
Address:
268 STATE ST STE 1
BANGOR, ME
ZIP 04401
Phone: (207) 307-7513
Get Directions

MY LIFE WELL ADJUSTED LLC is a chiropractor in Bangor, 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. MY LIFE WELL ADJUSTED LLC NPI is 1699264143. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Bangor Family Chiropractic.

The provider's business location address is:

268 STATE ST STE 1
BANGOR, ME
ZIP 04401-417
Phone: (207) 307-7513
Fax: (207) 307-7553

The provider's authorized official is Jeffrey Slocum .
The authorized official title is Owner and has the following contact phone number (207) 307-7513.

The enumeration date for this NPI number is 5/9/2018 and was last updated on 9/27/2018.


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
1111N00000XChiropractorCR912MAINEYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1132180000MEDICAIDMAINE

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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