Organization · Type 2 NPI

Northern New England Primary Care

Neuromusculoskeletal Medicine & OMM Physician · Manchester, ME

NPI number 1730187923 Active

Practice location

29 Bowdoin St
Manchester, ME 04351

Fax (207) 622-5452

Specialties and licenses

Taxonomy	Code	License
Chiropractor	111N00000X	None listed
Neuromusculoskeletal Medicine & OMM Physician Primary	204D00000X	None listed
Pain Medicine (Anesthesiology) Physician	207LP2900X	None listed
Vascular Surgery Physician	2086S0129X	None listed

Neuromusculoskeletal Medicine & OMM Physician: 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 …

4 other providers at this address

NPI record

NPI: 1730187923
Entity type: Organization (Type 2)
Issued: Jul 12, 2005
Last updated: Aug 12, 2019
Status: Active

Other names

<unavail>
Maine Recovery Center · doing business as
New England Sport and Spine · doing business as
Vascular Center of New England · doing business as

Authorized official

Douglas Joseph Jorgensen
President, Owner
(207) 622-4500

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

Is this your record? How to update it.

About NPI 1730187923

Northern New England Primary Care's National Provider Identifier is 1730187923, issued on Jul 12, 2005. The primary taxonomy on file is Neuromusculoskeletal Medicine & OMM Physician (204D00000X), and the practice location is in Manchester, ME. The record was last updated on Aug 12, 2019.