Innate Chiropractic, PC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CR1111 Issued in ME

Legal business name

INNATE CHIROPRACTIC, PC

Doing business as

Creating Wellness at Innate Chiropractic

Practice address

210 Western Ave
South Portland, ME 04106-2424

Phone

(207) 775-7468

Fax

(207) 775-1080

NPI assigned

Jul 20, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Lizette K. Eckert, D.C.

Title

Treasurer

Phone

(207) 775-7468

Specialties & licenses 1

Addresses

Other names 1

• Creating Wellness at Innate Chiropractic Doing business as

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1153353600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1306866843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 WESTERN AVE",
            "city": "SOUTH PORTLAND",
            "state": "ME",
            "postal_code": "041062424",
            "telephone_number": "207-775-7468",
            "fax_number": "207-775-1080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 WESTERN AVE",
            "city": "SOUTH PORTLAND",
            "state": "ME",
            "postal_code": "041062424",
            "telephone_number": "207-775-7468",
            "fax_number": "207-775-1080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INNATE CHIROPRACTIC, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ECKERT",
        "authorized_official_first_name": "LIZETTE",
        "authorized_official_middle_name": "K.",
        "authorized_official_title_or_position": "TREASURER",
        "authorized_official_telephone_number": "207-775-7468",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "ME",
            "license": "CR1111",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Creating Wellness at Innate Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Chiropractor in South Portland, ME
• Providers in South Portland, ME by specialty
• Chiropractor in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.