MEDICARE: DR. TED T STOKES D.C.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor	CR743	ME

General Provider Information

NPI Number	:	1124068077
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. TED T STOKES D.C.

Provider Business Mailing Address
First Line	:	95 PARK ST
Second Line	:	SUITE 302
City	:	LEWISTON
State	:	ME
Zip	:	04240-7282
Country	:	US
Telephone Number	:	207-782-7846
Fax Number	:	207-689-2139

Provider Business Practice Location Address
First Line	:	95 PARK ST
Second Line	:	SUITE 302
City	:	LEWISTON
State	:	ME
Zip	:	04240-7282
Country	:	US
Telephone Number	:	207-782-7846
Fax Number	:	207-689-2139

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/08/2006
Last Update Date	:	07/09/2007

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Directions to “ DR. TED T STOKES D.C.” Practice Location

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