| Mid-coast Spine & Sport | |
|
18 West St, Boothbay Harbor, ME 04538-1849 | |
| (207) 633-5500 | |
| Not Available |
| Full Name | Mid-coast Spine & Sport |
|---|---|
| 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 |
|---|---|---|---|
| 111N00000X | Chiropractor | (* (Not Available)) | Primary |
| Provider Name | Brady R Fergola |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1982263976 PECOS PAC ID: 9234535667 Enrollment ID: I20210909001667 |
| Mailing Address | Practice Location Address |
|---|---|
| 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 |