Provider Demographics
NPI:1013382449
Name:MCCANN, BRENDAN H (DC)
Entity Type:Individual
Prefix:DR
First Name:BRENDAN
Middle Name:H
Last Name:MCCANN
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 1:8 HILL WAY STE A
Mailing Address - Street 2:
Mailing Address - City:CAPE ELIZABETH
Mailing Address - State:ME
Mailing Address - Zip Code:04107-2038
Mailing Address - Country:US
Mailing Address - Phone:207-799-9950
Mailing Address - Fax:207-799-9951
Practice Address - Street 1:8 HILL WAY STE A
Practice Address - Street 2:
Practice Address - City:CAPE ELIZABETH
Practice Address - State:ME
Practice Address - Zip Code:04107-2038
Practice Address - Country:US
Practice Address - Phone:207-799-9950
Practice Address - Fax:207-799-9951
Is Sole Proprietor?:No
Enumeration Date:2015-12-10
Last Update Date:2022-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH984111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
NHT400283039Medicare UPIN