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LIFE SOURCE FAMILY CHIROPRACTIC LLC NPI 1912380205


NPI Information

NPI: 1912380205
Provider Name: LIFE SOURCE FAMILY CHIROPRACTIC LLC
Classification: Chiropractor - 111N00000X
Entity Type: Organization
Address:
24 CHURCH ST
ELLSWORTH, ME
ZIP 04605
Phone: (207) 667-5432
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LIFE SOURCE FAMILY CHIROPRACTIC LLC 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. LIFE SOURCE FAMILY CHIROPRACTIC LLC NPI is 1912380205. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

24 CHURCH ST
ELLSWORTH, ME
ZIP 04605-913
Phone: (207) 667-5432
Fax: (207) 667-5435

The provider's authorized official is Megan Pinkham .
The authorized official title is Co-owner and has the following contact phone number (207) 667-5432.

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


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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1111N00000XChiropractorCR2292MAINENo
2111N00000XChiropractorCR2285MAINEYes

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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