Provider Demographics
NPI:1023154754
Name:NORTON, JODY JAMES (DC)
Entity type:Individual
Prefix:DR
First Name:JODY
Middle Name:JAMES
Last Name:NORTON
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: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:
Practice Address - Street 1:43 SCHOOL STREET
Practice Address - Street 2:E1
Practice Address - City:STONINGTON
Practice Address - State:ME
Practice Address - Zip Code:04681-0064
Practice Address - Country:US
Practice Address - Phone:207-367-6333
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-29
Last Update Date:2011-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MECR999111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
ME246700099Medicaid
ME246700099Medicaid
MEMM6033Medicare ID - Type Unspecified