Provider Demographics
NPI:1720775984
Name:NEW FRONTIERS CHIROPRACTIC LLC
Entity Type:Organization
Organization Name:NEW FRONTIERS CHIROPRACTIC LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:T
Authorized Official - Last Name:BARTLETT
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:207-489-9079
Mailing Address - Street 1:178 CUMBERLAND RD UNIT B
Mailing Address - Street 2:
Mailing Address - City:NORTH YARMOUTH
Mailing Address - State:ME
Mailing Address - Zip Code:04097-6577
Mailing Address - Country:US
Mailing Address - Phone:207-489-9079
Mailing Address - Fax:
Practice Address - Street 1:178 CUMBERLAND RD UNIT B
Practice Address - Street 2:
Practice Address - City:NORTH YARMOUTH
Practice Address - State:ME
Practice Address - Zip Code:04097-6577
Practice Address - Country:US
Practice Address - Phone:207-489-9079
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-04-19
Last Update Date:2023-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty