Mid-coast Spine & Sport | |
18 West St, Boothbay Harbor, ME 04538-1849 | |
(207) 633-5500 | |
Not Available |
Full Name | Mid-coast Spine & Sport |
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Type | Facility |
Speciality | Chiropractor |
Location | 18 West St, Boothbay Harbor, Maine |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1669052601 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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111N00000X | Chiropractor | (* (Not Available)) | Primary |
Provider Name | Brady R Fergola |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1982263976 PECOS PAC ID: 9234535667 Enrollment ID: I20210909001667 |
Mailing Address | Practice Location Address |
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Mid-coast Spine & Sport 18 West St, Boothbay Harbor, ME 04538-1849 Ph: (207) 633-5500 | Mid-coast Spine & Sport 18 West St, Boothbay Harbor, ME 04538-1849 Ph: (207) 633-5500 |
Mid-coast Spine & Sport Llc Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 18 West St, Boothbay Harbor, ME 04538 Phone: 207-357-4541 | |
The Boothbay Chiropractor Chiropractor Medicare: Medicare Enrolled Practice Location: 18 West St, Boothbay Harbor, ME 04538 Phone: 207-633-5500 Fax: 207-633-0805 | |
Dr. Ronald Paul Bouffard, BS DC DABCI Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 18 West Street, Boothbay Harbor, ME 04538 Phone: 207-633-5500 Fax: 207-633-0805 | |
Brady Robert Fergola, DC Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 18 West St, Boothbay Harbor, ME 04538 Phone: 207-633-5500 Fax: 207-633-0805 |