Segerstrom, Mark C
Segerstrom, Mark C is an individual health care provider with primary practice located at 2001 Congress St , Portland ME 04102-1903. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Segerstrom, Mark C can be contacted via phone (207) 879-5433.Contact Information
Primary practice address
2001 Congress St
Portland ME 04102-1903
Phone: (207) 879-5433
Fax: (207) 879-5433
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | ME0989216 | Maine |
Profile Details
| NPI number | 1033207303 |
|---|---|
| LBN Legal business name | Segerstrom, Mark C |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 11th, 2006 |
| Last updated | Jul 9th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1033207303 | NPPES |
| Maine | Other | 017234 | ANTHEM BCBSME ID |
| Maine | Other | 1041785 | ANTHEM BCBSME ID |
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