Provider Demographics
NPI:1205205341
Name:BAR HARBOR CHIROPRACTIC
Entity Type:Organization
Organization Name:BAR HARBOR CHIROPRACTIC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT, BAR HARBOR CHIROPRACTIC
Authorized Official - Prefix:MR
Authorized Official - First Name:SEAN
Authorized Official - Middle Name:NICHOLAS
Authorized Official - Last Name:PARADY
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:207-479-3061
Mailing Address - Street 1:24 1ST SOUTH STREET
Mailing Address - Street 2:
Mailing Address - City:BAR HARBOR
Mailing Address - State:ME
Mailing Address - Zip Code:04609
Mailing Address - Country:US
Mailing Address - Phone:207-288-0755
Mailing Address - Fax:
Practice Address - Street 1:24 1ST SOUTH STREET
Practice Address - Street 2:
Practice Address - City:BAR HARBOR
Practice Address - State:ME
Practice Address - Zip Code:04609
Practice Address - Country:US
Practice Address - Phone:207-288-0755
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:BAR HARBOR CHIROPRACTIC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2015-09-18
Last Update Date:2015-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MECR2305111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty