Vanidestine, Thomas J

Vanidestine, Thomas J is an sole proprietor health care provider with primary practice located at 336 Mount Hope Ave Suite 11, Bangor ME 04401-4236. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Vanidestine, Thomas J can be contacted via phone (207) 942-2800.

Contact Information

Primary practice address
336 Mount Hope Ave Suite 11 Bangor ME 04401-4236
Phone: (207) 942-2800
Fax: (207) 990-2362
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X CR814 Maine

Profile Details

NPI number 1538108022
LBN Legal business name Vanidestine, Thomas J
Credentials DC, CCSP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 6th, 2006
Last updated Dec 1st, 2016 - about 10 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1538108022 NPPES
Maine Other 001039 BLUE CROSS/ANTHEM
Maine MEDICAID 121660000 BLUE CROSS/ANTHEM
Maine MEDICAID 121660099 BLUE CROSS/ANTHEM
Maine Other 5734579 BLUE CROSS/ANTHEM
Maine Other 5314274 BLUE CROSS/ANTHEM
Maine Other P00282285 BLUE CROSS/ANTHEM
Maine Other 610664 BLUE CROSS/ANTHEM
Maine Other 68974 BLUE CROSS/ANTHEM
Maine Other MN0080 BLUE CROSS/ANTHEM

Popular Providers