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FULL POTENTIAL PLLC NPI 1528770609


NPI Information

NPI: 1528770609
Provider Name: FULL POTENTIAL PLLC

Doing Business As: INNATE FAMILY CHIROPRACTIC

Classification: Clinic/Center - 261Q00000X
Entity Type: Organization
Address:
210 WESTERN AVE STE 300
SOUTH PORTLAND, ME
ZIP 04106
Phone: (207) 775-7468
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FULL POTENTIAL PLLC is a clinic center in South Portland, ME. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). FULL POTENTIAL PLLC NPI is 1528770609. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Innate Family Chiropractic.

The provider's business location address is:

210 WESTERN AVE STE 300
SOUTH PORTLAND, ME
ZIP 04106-426
Phone: (207) 775-7468

The provider's authorized official is Rachel Fogarty .
The authorized official title is Owner and has the following contact phone number (207) 775-7468.

The enumeration date for this NPI number is 12/20/2022 and was last updated on 7/21/2023.


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
1111N00000XChiropractorNo
2261Q00000XClinic/CenterYes

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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