MJW Corporation

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CR646 Issued in ME

Legal business name

MJW CORPORATION

Doing business as

Windham Chiropractic and Rehabilitation

Practice address

585 Roosevelt TRL
Windham, ME 04062-4908

Phone

(207) 892-9001

Fax

(207) 892-3228

NPI assigned

Oct 20, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mark Wasowski, D.C.NPI 1558443010

Title

Owner President

Phone

(207) 892-9001

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Windham Chiropractic and Rehabilitation Doing business as

Medicare fee-for-service enrollment

Enrolled in ME

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Mark J Wasowski, D.C

  • Chiropractor
  • Windham, ME
  • NPI 1558443010
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1161302400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1326120890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 787",
            "city": "WINDHAM",
            "state": "ME",
            "postal_code": "040620787",
            "telephone_number": "207-892-9001",
            "fax_number": "207-892-3228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "585 ROOSEVELT TRL",
            "city": "WINDHAM",
            "state": "ME",
            "postal_code": "040624908",
            "telephone_number": "207-892-9001",
            "fax_number": "207-892-3228"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MJW CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WASOWSKI",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "OWNER PRESIDENT",
        "authorized_official_telephone_number": "207-892-9001",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "ME",
            "license": "CR646",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "043148",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "0452064",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Windham Chiropractic and Rehabilitation",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Amanda C Michaud, M.A. CCC-SLP
• June Midura, LC25078
• Sarah Mildrum, LCSW
• Alexandra Beth Miller- Hope, MS, OTR/L
• Melissa Ann Milza, D.P.M
• Moore Chiropractic Center
• Roy A Moore, D.C
• Roy Alan Moore Jr., D.C.
• James M Moran, EDD
• Karen Morganelli

• Chiropractor in Windham, ME
• Providers in Windham, 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.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.