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ANDROSCOGGIN OSTEOPATHIC LLC NPI 1144638412


NPI Information

NPI: 1144638412
Provider Name: ANDROSCOGGIN OSTEOPATHIC, LLC,

Former Legal Business Name: CENTRAL MAINE OSTEOPATHIC, LLC

Classification: Neuromusculoskeletal Medicine & OMM - 204D00000X
Entity Type: Organization
Address:
95 PARK ST
SUITE 519
LEWISTON, ME
ZIP 04240
Phone: (207) 241-0945
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ANDROSCOGGIN OSTEOPATHIC, LLC, is a neuromusculoskeletal medicine omm in Lewiston, ME. The provider is the Neuromusculoskeletal Medicine and Osteopathic Manipulative Medicine physician directs special attention to the neuromusculoskeletal system and its interaction with other body systems. Neuromusculoskeletal Medicine and Osteopathic Manipulative Medicine encompasses increased knowledge and understanding of osteopathic principles and practice and heightened technical skills of osteopathic manipulative medicine, and integrates each of these into the management of pediatric, adolescent, adult, and geriatric patients. ANDROSCOGGIN OSTEOPATHIC, LLC, NPI is 1144638412. The provider is registered as an organization entity type and is a single specialty group.
The provider Former Legal Business Name Is Central Maine Osteopathic, Llc.

The provider's business location address is:

95 PARK ST
SUITE 519
LEWISTON, ME
ZIP 04240-282
Phone: (207) 241-0945
Fax: (207) 241-0955

The provider's authorized official is Stephen R Bergman .
The authorized official title is Owner and has the following contact phone number (207) 241-0945.

The enumeration date for this NPI number is 7/30/2014 and was last updated on 3/20/2015.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1204D00000XNeuromusculoskeletal Medicine & OMMDO2336MAINEYes

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

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