Healthcare Provider Details

I. General information

NPI: 1194151068
Provider Name (Legal Business Name): DANIELLE MARIE PHILLIPS D.C.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: DANIELLE PHILLIPS

II. Dates (important events)

Enumeration Date: 09/23/2013
Last Update Date: 10/01/2026
Certification Date: 09/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2402 US-2 SUITE Q
HERMON ME
04401
US

IV. Provider business mailing address

2402 US-2 SUITE Q
HERMON ME
04401
US

V. Phone/Fax

Practice location:
  • Phone: 207-922-2321
  • Fax: 207-922-2492
Mailing address:
  • Phone: 207-922-2321
  • Fax: 207-922-2492

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberCR2144
License Number StateME

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: