Healthcare Provider Details

I. General information

NPI: 1720775984
Provider Name (Legal Business Name): NEW FRONTIERS CHIROPRACTIC LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/19/2023
Last Update Date: 04/19/2023
Certification Date: 04/19/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

178 CUMBERLAND RD UNIT B
NORTH YARMOUTH ME
04097-6577
US

IV. Provider business mailing address

178 CUMBERLAND RD UNIT B
NORTH YARMOUTH ME
04097-6577
US

V. Phone/Fax

Practice location:
  • Phone: 207-489-9079
  • Fax:
Mailing address:
  • Phone: 207-489-9079
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: DR. WILLIAM T BARTLETT
Title or Position: DOCTOR/OWNER
Credential: DC
Phone: 207-489-9079