WALDOBORO CHIROPRACTIC CENTER PA NPI 1053487702

NPI Information

  • NPI: 1053487702
  • Provider Name: WALDOBORO CHIROPRACTIC CENTER PA
  • Classification: Chiropractor - 111N00000X
  • Entity Type: Organization
  • CLIA Number: 20D0089767
  • Address: 290 BREMEN RD
    WALDOBORO, ME
    ZIP 04572
  • Phone: (207) 832-6347

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NPI Details

WALDOBORO CHIROPRACTIC CENTER PA is a chiropractor in Waldoboro, 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. WALDOBORO CHIROPRACTIC CENTER PA NPI is 1053487702. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

290 BREMEN RD
WALDOBORO, ME
ZIP 04572-625
Phone: (207) 832-6347
Fax: (207) 832-4664

The provider's authorized official is Jennifer Harvey .
The authorized official title is Manager and has the following contact phone number (207) 832-6347.

The CLIA number assigned to this NPI record is 20D0089767 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/27/2006 and was last updated on 5/17/2011.

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
1111N00000XChiropractorCR875MAINEYes

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
1MM9923MEDICARE PINMAINE
2022301OTHERANTHEM
3T06443MEDICARE UPIN
4129130100MEDICAIDMAINE

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: 11/21/2025

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