| Ten Lakes Chiropractic Clinic | |
|
300 Portland Rd, Bridgton, ME 04009-4227 | |
| (207) 647-9900 | |
| Not Available |
| Full Name | Ten Lakes Chiropractic Clinic |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 300 Portland Rd, Bridgton, Maine |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225446586 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | CR 1910 (Maine) | Primary |
| Provider Name | Derek M Eagan |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1235367905 PECOS PAC ID: 8527104843 Enrollment ID: I20090930000088 |
| Provider Name | Karyn Hood |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1962838276 PECOS PAC ID: 6103105069 Enrollment ID: I20161116002150 |
| Mailing Address | Practice Location Address |
|---|---|
| Ten Lakes Chiropractic Clinic Po Box 20, Bridgton, ME 04009-0020 Ph: () - | Ten Lakes Chiropractic Clinic 300 Portland Rd, Bridgton, ME 04009-4227 Ph: (207) 647-9900 |
Dr. Derek M Eagan, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 86 South High St, Bridgton, ME 04009 Phone: 207-647-9900 Fax: 207-647-9909 | |
Dr. Stewart Estabrook Sulloway, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 55 Portland Rd, Bridgton, ME 04009 Phone: 207-647-3504 Fax: 207-647-5862 | |
Estabrook Sulloway, D.c. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 55 Portland Rd, Bridgton, ME 04009 Phone: 207-647-3504 Fax: 207-647-5862 |