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NPI Code Detail

MEDICARE: DR. RONALD DENIS OUELLETTE DC

MEDICARE: DR. RONALD DENIS OUELLETTE DC
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
1111N00000XChiropractorCR0731ME

General Provider Information

NPI Number : 1598745515
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. RONALD DENIS OUELLETTE DC
Provider Business Mailing Address
First Line : 529 S PATTEN RD
Second Line :
City : PATTEN
State : ME
Zip : 04765-3007
Country : US
Telephone Number : 207-528-2285
Fax Number : 207-528-2880
Provider Business Practice Location Address
First Line : 529 S PATTEN RD
Second Line :
City : PATTEN
State : ME
Zip : 04765-3007
Country : US
Telephone Number : 207-528-2285
Fax Number : 207-528-2880
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/17/2006
Last Update Date : 11/29/2018

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