Provider Demographics
NPI:1114015435
Name:A BETTER WAY CHIROPRACTIC
Entity Type:Organization
Organization Name:A BETTER WAY CHIROPRACTIC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:MARK
Authorized Official - Middle Name:C
Authorized Official - Last Name:SEGERSTROM
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:207-879-5433
Mailing Address - Street 1:2001 CONGRESS ST
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:ME
Mailing Address - Zip Code:04102-1903
Mailing Address - Country:US
Mailing Address - Phone:207-879-5433
Mailing Address - Fax:207-879-5433
Practice Address - Street 1:2001 CONGRESS ST
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:ME
Practice Address - Zip Code:04102-1903
Practice Address - Country:US
Practice Address - Phone:207-879-5433
Practice Address - Fax:207-879-5433
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-11
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MEME0989216111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
ME017234OtherANTHEM BCBSME ID
MEMM3983Medicare PIN
MEU25469Medicare UPIN