| Estabrook Sulloway, D.c. | |
|
55 Portland Rd, Bridgton, ME 04009-1230 | |
| (207) 647-3504 | |
| (207) 647-5862 |
| Full Name | Estabrook Sulloway, D.c. |
|---|---|
| Type | Facility |
| Speciality | Chiropractor - Sports Physician |
| Location | 55 Portland Rd, Bridgton, Maine |
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790795193 | NPI | - | NPPES |
| M20915 | Other | CIGNA # | |
| 234252 | Other | AETNA # | |
| 039429 | Other | ME | ANTHEM/BCBS # |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111NS0005X | Chiropractor - Sports Physician | CR755 (Maine) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Estabrook Sulloway, D.c. 55 Portland Rd, Bridgton, ME 04009-1230 Ph: (207) 647-3504 | Estabrook Sulloway, D.c. 55 Portland Rd, Bridgton, ME 04009-1230 Ph: (207) 647-3504 |
Ten Lakes Chiropractic Clinic Chiropractor Medicare: Medicare Enrolled Practice Location: 300 Portland Rd, Bridgton, ME 04009 Phone: 207-647-9900 | |
Dr. Derek M Eagan, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 86 South High St, Bridgton, ME 04009 Phone: 207-647-9900 Fax: 207-647-9909 | |
Dr. Stewart Estabrook Sulloway, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 55 Portland Rd, Bridgton, ME 04009 Phone: 207-647-3504 Fax: 207-647-5862 |