| |
568 Main St, Fryeburg, ME 04037-1146 | |
(207) 935-3500 | |
(207) 935-7384 |
Full Name | |
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Type | Facility |
Speciality | Chiropractor |
Location | 568 Main St, Fryeburg, Maine |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1306923040 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | (Maine) | Primary |
Provider Name | Joseph Chisari |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1184673691 PECOS PAC ID: 1052309176 Enrollment ID: I20040505001244 |
Provider Name | Joshua Glidden |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1578985248 PECOS PAC ID: 7517182496 Enrollment ID: I20140709001266 |
Mailing Address | Practice Location Address |
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568 Main St, Fryeburg, ME 04037-1146 Ph: (207) 935-3500 | 568 Main St, Fryeburg, ME 04037-1146 Ph: (207) 935-3500 |
Mr. Joseph Chisari, DC Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 568 Main Street, Fryeburg, ME 04037 Phone: 207-935-3500 Fax: 207-935-7384 |