Healthcare Provider Details

I. General information

NPI: 1801674783
Provider Name (Legal Business Name): SUNRISE COUNTY CHIROPRACTIC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/20/2023
Last Update Date: 09/20/2023
Certification Date: 09/20/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

41 FACTORY RD
EAST MACHIAS ME
04630-3668
US

IV. Provider business mailing address

34 HALLS MILLS RD
WHITING ME
04691-3225
US

V. Phone/Fax

Practice location:
  • Phone: 207-255-8835
  • Fax:
Mailing address:
  • Phone: 207-259-0173
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number
License Number State

VIII. Authorized Official

Name: MARTHA ADAMS
Title or Position: PARTNER
Credential:
Phone: 207-259-0173