Healthcare Provider Details

I. General information

NPI: 1417998238
Provider Name (Legal Business Name): ANGELA L HASTINGS DC
Entity Type: Individual
Gender: Female
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 06/10/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9 SWAN HILL RD
OAKLAND ME
04963-4831
US

IV. Provider business mailing address

9 SWAN HILL RD
OAKLAND ME
04963-4831
US

V. Phone/Fax

Practice location:
  • Phone: 207-465-4325
  • Fax: 207-465-4335
Mailing address:
  • Phone: 207-465-4325
  • Fax: 207-465-4335

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberCR1232
License Number StateME

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: