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NPI Code Detail

MEDICARE: ADAM S MCBRIDE D.C.

MEDICARE: ADAM S MCBRIDE D.C.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1111N00000XChiropractorCR1306ME

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1061116OTHERMEANTHEM PROVIDER #

General Provider Information

NPI Number : 1336109271
Entity Type Code : Individual
Provider Name (Legal Business Name) : ADAM S MCBRIDE D.C.
Provider Business Mailing Address
First Line : PO BOX 466
Second Line :
City : CORNISH
State : ME
Zip : 04020-0466
Country : US
Telephone Number : 207-625-8100
Fax Number : 207-625-8900
Provider Business Practice Location Address
First Line : 202 MAPLE ST
Second Line : SUITE A
City : CORNISH
State : ME
Zip : 04020-3138
Country : US
Telephone Number : 207-625-8100
Fax Number : 207-625-8900
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/24/2006
Last Update Date : 12/05/2012

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Directions to “ ADAM S MCBRIDE D.C.” Practice Location

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