NPI 1306866843

Innate Chiropractic, PC

Organisation Chiropractor South Portland, ME

Practice location

Address: 210 Western Ave, South Portland, ME 04106-2424
Phone: (207) 775-7468
Fax: (207) 775-1080

Authorised official

Name: Lizette K. Eckert
Title: Treasurer
Phone: (207) 775-7468

Registered specialties

Chiropractor Primary

Chiropractic Providers Taxonomy 111N00000X Licence CR1111 (ME)

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Registry record

NPI: 1306866843
Entity type: Organization
NPI issued: 20 Jul 2006
Record last updated: 22 Aug 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.