Provider Demographics
NPI:1629297858
Name:BIDDEFORD FAMILY CHIROPRACTIC, LLC
Entity Type:Organization
Organization Name:BIDDEFORD FAMILY CHIROPRACTIC, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DR.
Authorized Official - Prefix:DR
Authorized Official - First Name:PAUL
Authorized Official - Middle Name:
Authorized Official - Last Name:NEWTON
Authorized Official - Suffix:II
Authorized Official - Credentials:DC
Authorized Official - Phone:207-282-9797
Mailing Address - Street 1:7 POMERLEAU STREET
Mailing Address - Street 2:SUITE 201
Mailing Address - City:BIDDEFORD
Mailing Address - State:ME
Mailing Address - Zip Code:04005-9457
Mailing Address - Country:US
Mailing Address - Phone:207-282-9797
Mailing Address - Fax:207-282-9798
Practice Address - Street 1:7 POMERLEAU ST
Practice Address - Street 2:SUITE 201
Practice Address - City:BIDDEFORD
Practice Address - State:ME
Practice Address - Zip Code:04005-9457
Practice Address - Country:US
Practice Address - Phone:207-282-9797
Practice Address - Fax:207-282-9798
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-25
Last Update Date:2010-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MECR1612111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty