Sulloway, Stewart Estabrook
Sulloway, Stewart Estabrook is an individual health care provider with primary practice located at 55 Portland Rd , Bridgton ME 04009-1230. He recently has only one registered license in Chiropractic Providers / Rehabilitation, which is considered as his primary health care specialty. Sulloway, Stewart Estabrook can be contacted via phone (207) 647-3504.Contact Information
Primary practice address
55 Portland Rd
Bridgton ME 04009-1230
Phone: (207) 647-3504
Fax: (207) 647-5862
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Rehabilitation | 111NR0400X | CR755 | Maine |
Profile Details
| NPI number | 1326251547 |
|---|---|
| LBN Legal business name | Sulloway, Stewart Estabrook |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 7th, 2007 |
| 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1326251547 | NPPES |
| Other | M20915 | CIGNA | |
| Other | 234252 | CIGNA | |
| Other | 039429 | CIGNA |
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