Provider Demographics
NPI:1417998238
Name:HASTINGS, ANGELA L (DC)
Entity Type:Individual
Prefix:
First Name:ANGELA
Middle Name:L
Last Name:HASTINGS
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9 SWAN HILL RD
Mailing Address - Street 2:
Mailing Address - City:OAKLAND
Mailing Address - State:ME
Mailing Address - Zip Code:04963-4831
Mailing Address - Country:US
Mailing Address - Phone:207-465-4325
Mailing Address - Fax:207-465-4335
Practice Address - Street 1:9 SWAN HILL RD
Practice Address - Street 2:
Practice Address - City:OAKLAND
Practice Address - State:ME
Practice Address - Zip Code:04963-4831
Practice Address - Country:US
Practice Address - Phone:207-465-4325
Practice Address - Fax:207-465-4335
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-06-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MECR1232111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
MEMM9907Medicare ID - Type Unspecified
MEU94813Medicare UPIN