Healthcare Provider Details

I. General information

NPI: 1851012629
Provider Name (Legal Business Name): PATRICK LORETO DUNPHY DC
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/08/2022
Last Update Date: 02/16/2023
Certification Date: 02/16/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3 FUNDY RD
FALMOUTH ME
04105-1775
US

IV. Provider business mailing address

3 FUNDY RD
FALMOUTH ME
04105-1775
US

V. Phone/Fax

Practice location:
  • Phone: 207-781-2003
  • Fax:
Mailing address:
  • Phone: 207-781-2003
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code111NX0800X
TaxonomyOrthopedic Chiropractor
License NumberCH61330911
License Number StateWA
# 2
Primary TaxonomyY
Taxonomy Code111NX0800X
TaxonomyOrthopedic Chiropractor
License NumberCR2875
License Number StateME

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: