Organization · Type 2 NPI
Vanidestine Chiropractic, Inc
Chiropractor · Bangor, ME
NPI number
1174096309
Active
Practice location
336 Mount Hope Ave Ste 11
Bangor, ME 04401-4236
Fax (207) 990-2632
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor Primary | 111N00000X | None listed |
Chiropractor: 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.
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About NPI 1174096309
Vanidestine Chiropractic, Inc's National Provider Identifier is 1174096309, issued on Jan 10, 2019. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Bangor, ME. The record was last updated on Jan 10, 2019.