Provider Demographics
NPI:1770558983
Name:FLOLID, NANCY A (DC)
Entity type:Individual
Prefix:DR
First Name:NANCY
Middle Name:A
Last Name:FLOLID
Suffix:
Gender:F
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 551
Mailing Address - Street 2:
Mailing Address - City:YORK
Mailing Address - State:ME
Mailing Address - Zip Code:03909-0551
Mailing Address - Country:US
Mailing Address - Phone:207-363-5966
Mailing Address - Fax:
Practice Address - Street 1:1 BRICKYARD LN
Practice Address - Street 2:SUITE BB
Practice Address - City:YORK
Practice Address - State:ME
Practice Address - Zip Code:03909-1686
Practice Address - Country:US
Practice Address - Phone:207-363-5966
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-02-21
Last Update Date:2011-04-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ME900111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
MEMM5037Medicare PIN
44247Medicare UPIN
MEKX0004Medicare PIN