Colasante Chiropractic, Llc | |
184 Webster Street #100 Lewiston ME 04240 | |
(207) 784-8414 | |
Not Available |
Full Name | Colasante Chiropractic, Llc |
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Speciality | Clinic/Center |
Location | 184 Webster Street, Lewiston, Maine |
Authorized Official Name and Position | William Colasante (OWNER/CHIROPRACTIC PHYSICIAN) |
Authorized Official Contact | 2077848414 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Colasante Chiropractic, Llc 184 Webster St Ste 100 Lewiston ME 04240-5558 Ph: () - | Colasante Chiropractic, Llc 184 Webster Street #100 Lewiston ME 04240 Ph: (207) 784-8414 |
NPI Number | 1710404561 |
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Provider Enumeration Date | 08/23/2017 |
Last Update Date | 08/23/2017 |
Medicare PECOS PAC ID | 1951676022 |
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Medicare Enrollment ID | O20170929001614 |
Identifier | Type | State | Issuer |
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1710404561 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261Q00000X | Clinic/center | CR2446 (Maine) | Primary |
Provider Name | William Mcdonald Colasante |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1194249730 PECOS PAC ID: 2860767936 Enrollment ID: I20170929001709 |
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