Provider Demographics
NPI:1609978782
Name:CHASSE, THOMAS ULYSSES (DC)
Entity Type:Individual
Prefix:DR
First Name:THOMAS
Middle Name:ULYSSES
Last Name:CHASSE
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 1:262 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:WATERVILLE
Mailing Address - State:ME
Mailing Address - Zip Code:04901-4857
Mailing Address - Country:US
Mailing Address - Phone:207-873-4446
Mailing Address - Fax:207-877-9466
Practice Address - Street 1:262 MAIN ST
Practice Address - Street 2:
Practice Address - City:WATERVILLE
Practice Address - State:ME
Practice Address - Zip Code:04901-4857
Practice Address - Country:US
Practice Address - Phone:207-873-4446
Practice Address - Fax:207-877-9466
Is Sole Proprietor?:No
Enumeration Date:2006-09-01
Last Update Date:2010-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ME397111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
ME105300000Medicaid
ME005861OtherANTHEM BCBS
ME005861OtherANTHEM BCBS
T31476Medicare UPIN