Provider Demographics
NPI:1013678903
Name:COMPLETE HEALTH 180 PLLC
Entity Type:Organization
Organization Name:COMPLETE HEALTH 180 PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:CRYSTAL
Authorized Official - Middle Name:T
Authorized Official - Last Name:ZAGWYN-HARRISON
Authorized Official - Suffix:
Authorized Official - Credentials:DC DABFP
Authorized Official - Phone:207-737-2482
Mailing Address - Street 1:3 HOMESTEAD WAY STE 1
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:ME
Mailing Address - Zip Code:04357-3728
Mailing Address - Country:US
Mailing Address - Phone:207-737-2482
Mailing Address - Fax:207-737-2484
Practice Address - Street 1:164 MAIN ST STE 3
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:ME
Practice Address - Zip Code:04357-4036
Practice Address - Country:US
Practice Address - Phone:207-737-2482
Practice Address - Fax:207-737-2484
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-01-04
Last Update Date:2023-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty