207 Chiropractic Pain Center, LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

CR2341 Issued in ME

Legal business name

207 CHIROPRACTIC PAIN CENTER, LLC

Practice address

43 Columbia St
Suite 11
Bangor, ME 04401-6346

Phone

(207) 307-7413

Fax

(844) 813-8498

NPI assigned

Feb 8, 2017

Organization subpart

No

Name

Dr. Chuck Jonathan Leblanc, DC

Title

Owner

Phone

(207) 307-7413

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Feb 8, 2017.

{
    "created_epoch": "1486512000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1486512000000",
    "number": "1982142048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43 COLUMBIA ST",
            "address_2": "SUITE 11",
            "city": "BANGOR",
            "state": "ME",
            "postal_code": "044016346",
            "telephone_number": "207-307-7413",
            "fax_number": "844-813-8498"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "43 COLUMBIA ST",
            "address_2": "SUITE 11",
            "city": "BANGOR",
            "state": "ME",
            "postal_code": "044016346",
            "telephone_number": "207-307-7413",
            "fax_number": "844-813-8498"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "207 CHIROPRACTIC PAIN CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-08",
        "last_updated": "2017-02-08",
        "status": "A",
        "authorized_official_last_name": "LEBLANC",
        "authorized_official_first_name": "CHUCK",
        "authorized_official_middle_name": "JONATHAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "207-307-7413",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "ME",
            "license": "CR2341",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• All providers in Bangor, ME
• Clinic/Center in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2017; 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.