Freeport Integrated Health Center, P.A.

LBN: Freeport Integrated Health Center, P.A.
Freeport Integrated Health Center, P.A. is an health care organization with primary practice located at 174 S Freeport Rd Suite 1F, Freeport ME 04032-6145. The organization recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as the primary health care specialty. Freeport Integrated Health Center, P.A. can be contacted via phone (207) 865-1183, or through Hendricks, James A via phone (207) 865-1183.

Contact Information

Primary practice address
174 S Freeport Rd Suite 1F Freeport ME 04032-6145
Fax: (207) 865-1183
Website:
Authorized official contact:
Name: Hendricks, James A Doctor of Chiropractic (DC)

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X CR1164 Maine

Profile Details

NPI number 1508061250
LBN Legal business name Freeport Integrated Health Center, P.A.
DBA Doing business as
Authorized official Hendricks, James A Doctor of Chiropractic (DC)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 20th, 2007
Last updated Dec 31st, 2013 - about 13 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1508061250 NPPES
Maine Other 038032 AETNA
Maine MEDICAID 133220099 AETNA
Maine Other 9332788 AETNA
Maine Other 1492459 AETNA

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