Bracken, Garry G

Bracken, Garry G is an individual health care provider with primary practice located at 96 India St , Portland ME 04101-4230. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Bracken, Garry G can be contacted via phone (207) 775-6782.

Contact Information

Primary practice address
96 India St Portland ME 04101-4230
Phone: (207) 775-6782
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X CR1160 Maine

Profile Details

NPI number 1558372938
LBN Legal business name Bracken, Garry G
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 10th, 2006
Last updated Jul 8th, 2007 - about 19 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1558372938 NPPES
Maine Other 2943218 AETNA
Maine Other 038957 AETNA
Maine Other 8504386 AETNA

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