Provider Demographics
NPI:1013029347
Name:SAULTER, MICHAEL S (DC)
Entity Type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:S
Last Name:SAULTER
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 367
Mailing Address - Street 2:NEWPORT CHIROPRACTIC
Mailing Address - City:NEWPORT
Mailing Address - State:ME
Mailing Address - Zip Code:04953-0367
Mailing Address - Country:US
Mailing Address - Phone:207-368-4318
Mailing Address - Fax:207-368-5224
Practice Address - Street 1:8 MAIN ST SUITE S
Practice Address - Street 2:NEWPORT CHIROPRACTIC
Practice Address - City:NEWPORT
Practice Address - State:ME
Practice Address - Zip Code:04953-0367
Practice Address - Country:US
Practice Address - Phone:207-368-4318
Practice Address - Fax:207-368-5224
Is Sole Proprietor?:No
Enumeration Date:2006-08-31
Last Update Date:2017-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MECR00000880111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
ME1042722OtherAETNA
ME350029711OtherRAILROAD MEDICARE
ME129380000Medicaid
ME015712OtherANTHEM
ME10903690OtherCAQH
MEM22331OtherCIGNA
MEMNT164OtherHARVARD PILGRIM
MEU43098Medicare UPIN
MEU43098Medicare UPIN