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ACTIVE CHIROPRACTIC AND WELLNESS NPI 1922540301


NPI Information

NPI: 1922540301
Provider Name: ACTIVE CHIROPRACTIC AND WELLNESS

Doing Business As: NESIBA MATTSON CHIROPRACTIC AND WELLNESS

Classification: Chiropractor - 111N00000X
Entity Type: Organization
Address:
150 BUCKSPORT RD
ELLSWORTH, ME
ZIP 04605
Phone: (207) 667-4678
Get Directions

ACTIVE CHIROPRACTIC AND WELLNESS is a chiropractor in Ellsworth, 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. ACTIVE CHIROPRACTIC AND WELLNESS NPI is 1922540301. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Nesiba Mattson Chiropractic And Wellness.

The provider's business location address is:

150 BUCKSPORT RD
ELLSWORTH, ME
ZIP 04605-224
Phone: (207) 667-4678

The provider's authorized official is Jessica Mattson .
The authorized official title is Manager and has the following contact phone number (207) 667-4578.

The enumeration date for this NPI number is 11/16/2016 and was last updated on 11/16/2016.


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
1111N00000XChiropractorCR2315MAINENo
2171100000XAcupuncturistAC526MAINENo
3111N00000XChiropractorCR1906MAINEYes

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: 5/5/2024

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