MEDICARE: SPINEOLOGY CHIROPRACTIC LLC

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	261Q00000X	Clinic/Center

General Provider Information

NPI Number	:	1720633175
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SPINEOLOGY CHIROPRACTIC LLC

Provider Business Mailing Address
First Line	:	388 LAKEWOOD RD
Second Line	:
City	:	MADISON
State	:	ME
Zip	:	04950-3015
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	388 LAKEWOOD RD
Second Line	:
City	:	MADISON
State	:	ME
Zip	:	04950-3015
Country	:	US
Telephone Number	:	207-619-4450
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	DUSTIN KNIFFIN
Credential	:	DC
Telephone Number	:	207-619-4450

Provider Enumeration Date	:	08/02/2019
Last Update Date	:	10/28/2019

Similar Medicare Providers

1619022423 — DR. LORAINE PARADIS DO
Practice Location Address:

344 LAKEWOOD RD
MADISON, ME
04950-3015

Practice Phone: 207-474-2994
Practice Fax: 207-858-0201

1265961833 — DR. DUSTIN KNIFFIN D.C.
Practice Location Address:

388 LAKEWOOD RD
MADISON, ME
04950-3015

Practice Phone: 207-619-4450
Practice Fax:

1558828426 — AMY MAE BERTONE FNP
Practice Location Address:

344 LAKEWOOD RD
MADISON, ME
04950-3015

Practice Phone: 207-474-2994
Practice Fax: 207-858-0201

1316507635 — ZAINAB ALAM
Practice Location Address:

344 LAKEWOOD RD
MADISON, ME
04950-3015

Practice Phone: 207-474-2994
Practice Fax:

1558232587 — FIONA CHAMPAGNE
Practice Location Address:

344 LAKEWOOD RD
MADISON, ME
04950-3015

Practice Phone: 207-474-2994
Practice Fax: 207-858-0102

1184698441 — HEALTHREACH COMMUNITY HEALTH CENTERS
Practice Location Address:

8 S MAIN ST
MADISON, ME
04950-4501

Practice Phone: 207-696-3992
Practice Fax: 207-696-5434

Directions to “SPINEOLOGY CHIROPRACTIC LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.