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Physician Compare National (NPI:1003084104)

HEALTHCARE PROVIDER: SARA LITTLEFIELD RIVARD D.C.

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information

NPI 1003084104
Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID 7911082383
Unique individual clinician ID assigned by PECOS
Professional Enrollment ID I20090817000575
Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name RIVARD
Individual professional last name
Provider First Name SARA
Individual professional first name
Provider Middle Name LITTLEFIELD
Individual professional middle name
Provider Gender F
The provider's gender if the provider is a person.

Medical School Information

Medical School Name SHERMAN COLLEGE OF STRAIGHT CHIROPRACTIC
Individual professional's medical school
Graduation Year 2002
Individual professional's medical school graduation year
Primary Specialty CHIROPRACTIC
Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information

Line 1 Street Address 260 WESTERN AVE G
Group Practice or individual's line 1 address
Line 2 Street Address BACK ON TRACK WELLNESS
Group Practice or individual's line 2 address
City SOUTH PORTLAND
Group Practice or individual's city
State ME
Group Practice or individual's state
Zip Code 041062445
Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information

Professional Accepts Medicare Assignment M

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