| Mall Road Chiropractic Center | |
|
118 Maine Mall Rd, South Portland, ME 04106-2309 | |
| (207) 772-1031 | |
| (207) 774-9394 |
| Full Name | Mall Road Chiropractic Center |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 118 Maine Mall Rd, South Portland, Maine |
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073662193 | NPI | - | NPPES |
| 4404051 | Other | ME | TAXONOMY |
| 002305 | Other | ME | BLUE CROSS BLUE SHEILD |
| 111990099 | Medicaid | ME | |
| 002304 | Other | ME | BLUE CROSS BLUE SHEILD |
| 111990199 | Medicaid | ME | |
| 4404052 | Other | ME | TAXONOMY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | CR565 (Maine) | Primary |
| 111N00000X | Chiropractor | CR566 (Maine) | Secondary |
| Mailing Address | Practice Location Address |
|---|---|
| Mall Road Chiropractic Center 118 Maine Mall Road, South Portland, ME 04106-2309 Ph: (207) 772-1031 | Mall Road Chiropractic Center 118 Maine Mall Rd, South Portland, ME 04106-2309 Ph: (207) 772-1031 |
Dr. Sara Littlefield Rivard, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 260 Western Ave, South Portland, ME 04106 Phone: 207-899-0806 Fax: 207-899-0817 | |
Nova Chiropractic Group Chiropractor Medicare: Medicare Enrolled Practice Location: 118 Maine Mall Rd, South Portland, ME 04106 Phone: 207-772-1031 Fax: 207-774-9394 | |
Dr. Mark S Williams, DC Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 1200 Broadway, South Portland, ME 04106 Phone: 207-799-2263 | |
Dr. Alan Christian Williams, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 554 Main St, South Portland, ME 04106 Phone: 207-773-6425 | |
Dr. Bea Margarita Serrano, Chiropractor Medicare: Medicare Enrolled Practice Location: 210 Western Ave Ste 300, South Portland, ME 04106 Phone: 207-775-7468 | |
Kassidy D Kasperski, DC Chiropractor Medicare: Medicare Enrolled Practice Location: 210 Western Ave, South Portland, ME 04106 Phone: 207-775-7468 |