| Colasante Chiropractic, LLC | |
|
184 Webster Street #100 Lewiston ME 04240 | |
| (207) 784-8414 | |
| Not Available |
| Full Name | Colasante Chiropractic, LLC |
|---|---|
| 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 |
|---|---|
| Colasante Chiropractic, LLC 184 Webster St Ste 100 Lewiston ME 04240-5558 | Colasante Chiropractic, LLC 184 Webster Street #100 Lewiston ME 04240 Ph: (207) 784-8414 |
| NPI Number | 1710404561 |
|---|---|
| Provider Enumeration Date | 08/23/2017 |
| Last Update Date | 08/23/2017 |
| Medicare PECOS PAC ID | 1951676022 |
|---|---|
| Medicare Enrollment ID | O20170929001614 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710404561 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | CR2446 (Maine) | Primary |
| Provider Name | William Mcdonald Colasante |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1194249730 PECOS PAC ID: 2860767936 Enrollment ID: I20170929001709 |
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