Provider Demographics
NPI:1578804092
Name:NORTON FAMILY CHIROPRACTIC
Entity Type:Organization
Organization Name:NORTON FAMILY CHIROPRACTIC
Other - Org Name:JNL LLC DBA NORTON FAMILY CHIROPRACTIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CLINIC DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:JODY
Authorized Official - Middle Name:JAMES
Authorized Official - Last Name:NORTON
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:207-367-6333
Mailing Address - Street 1:PO BOX 64
Mailing Address - Street 2:43 SCHOOL STREET
Mailing Address - City:STONINGTON
Mailing Address - State:ME
Mailing Address - Zip Code:04681-0064
Mailing Address - Country:US
Mailing Address - Phone:207-367-6333
Mailing Address - Fax:207-367-6335
Practice Address - Street 1:43 SCHOOL STREET
Practice Address - Street 2:SUITE E1
Practice Address - City:STONINGTON
Practice Address - State:ME
Practice Address - Zip Code:04681
Practice Address - Country:US
Practice Address - Phone:207-367-6333
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-03-07
Last Update Date:2013-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MECR999111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty