Alley, Tristan
Alley, Tristan is an individual health care provider with primary practice located at 164 Main St Ste 3 , Richmond ME 04357-4036. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Alley, Tristan can be contacted via phone (207) 737-2482.Contact Information
Primary practice address
164 Main St Ste 3
Richmond ME 04357-4036
Phone: (207) 737-2482
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | CR2886 | Maine |
Profile Details
| NPI number | 1497452411 |
|---|---|
| LBN Legal business name | Alley, Tristan |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 9th, 2023 |
| Last updated | Jan 30th, 2024 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1497452411 | NPPES |
| Maine | Other | 1881948768 | MEDICARE |
| Maine | MEDICAID | 1881948768 | MEDICARE |
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