Dr Heather Anna Theriault, DC | |
358 Main St, Gorham, ME 04038-1314 | |
(207) 222-2118 | |
(207) 222-2145 |
Full Name | Dr Heather Anna Theriault |
---|---|
Gender | Female |
Speciality | Chiropractor |
Location | 358 Main St, Gorham, Maine |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1083910970 | NPI | - | NPPES |
002091902 | Other | ME | MEDICARE PTAN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | CR2010 (Maine) | Primary |
Provider Name | Theriault Chiropractic & Associates Pc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1568145076 PECOS PAC ID: 9830552736 Enrollment ID: O20230824003346 |
Mailing Address | Practice Location Address |
---|---|
Dr Heather Anna Theriault, DC 358 Main St, Gorham, ME 04038-1314 Ph: (207) 222-2118 | Dr Heather Anna Theriault, DC 358 Main St, Gorham, ME 04038-1314 Ph: (207) 222-2118 |
Chiropractic Clinic Of Gorham Chiropractor Medicare: Medicare Enrolled Practice Location: 8 Elm St, Gorham, ME 04038 Phone: 207-839-6800 | |
Dr. Robert Lawrence Lavoie, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 8 Elm St., Gorham, ME 04038 Phone: 207-839-6800 Fax: 207-839-6801 | |
Northern Comfort Wellness Llc Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 8 Elm St Ste 1, Gorham, ME 04038 Phone: 207-604-2236 Fax: 207-805-6470 | |
Theriault Chiropractic & Associates Pc Chiropractor Medicare: Medicare Enrolled Practice Location: 381 Main St Ste 3, Gorham, ME 04038 Phone: 207-222-2118 Fax: 207-222-2145 | |
Dr. Joseph M Kerwin, D.C. Chiropractor Medicare: Medicare Enrolled Practice Location: 164 Main St, Gorham, ME 04038 Phone: 207-839-8181 Fax: 207-839-8182 |