Bar Harbor Chiropractic
Organization Active NPI Chiropractor · Bar Harbor, ME
NPI 1205205341 · NPPES record last updated Nov 10, 2015
Key facts
- NPI
- 1205205341
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Chiropractor 111N00000X
- License
- CR2305 (ME)
- Legal business name
- BAR HARBOR CHIROPRACTIC
- Practice address
- 24 1St South Street
Bar Harbor, ME 04609 - Phone
- (207) 288-0755
- NPI assigned
- Sep 18, 2015
- Organization subpart
- Yes
- Parent organization (as reported)
- BAR HARBOR CHIROPRACTIC
Authorized official
- Name
- Mr. Sean Nicholas Parady, D.C.
- Title
- President, Bar Harbor Chiropractic
- Phone
- (207) 479-3061
Practitioners 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in ME
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20160205000100 | ME | Part B Supplier - Clinic/Group Practice | 5092019406 |
Receives reassigned benefits from 1 practitioner Practice locations: Bar Harbor, ME |
National Provider Directory
- Part of
- Bar Harbor Chiropractic
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor |
111N00000X | CR2305 | ME | Yes |
Addresses
Primary practice location
24 1St South Street
Bar Harbor, ME 04609
Mailing address
24 1St South Street
Bar Harbor, ME 04609
Phone (207) 288-0755
Other providers in Bar Harbor, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 10, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.