Healthcare Provider Details

I. General information

NPI: 1538431861
Provider Name (Legal Business Name): DOIRON CHIROPRACTIC & SPORTS REHABILITATION LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/02/2012
Last Update Date: 09/22/2021
Certification Date: 09/22/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

322 ELM ST
BIDDEFORD ME
04005-3009
US

IV. Provider business mailing address

322 ELM ST
BIDDEFORD ME
04005-3009
US

V. Phone/Fax

Practice location:
  • Phone: 207-282-5233
  • Fax: 207-282-1395
Mailing address:
  • Phone: 207-282-5233
  • Fax: 207-282-1395

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberCR2031
License Number StateME
# 2
Primary TaxonomyN
Taxonomy Code261QP2000X
TaxonomyPhysical Therapy Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. DAVID GEOFFREY DOIRON
Title or Position: OWNER, PROVIDER
Credential: DC
Phone: 207-282-5233