NORTHEAST CHIROPRACTIC CENTER PA (NPI# 1275825804) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275825804 |
| Entity Type | Organization |
| Organization Name | NORTHEAST CHIROPRACTIC CENTER PA |
| Practice Address |
304 Hancock St Suite 2g Bangor ME 04401-6573 |
| Mailing Address |
304 Hancock St 2g Bangor ME 04401-6573 |
| Practice Telephone | 2079905711 |
| Practice Fax Number | 2079905712 |
| Mailing Telephone | 2079905711 |
| Mailing Fax Number | 2079905712 |
| Enumeration Date | 2011-05-16 |
| Last Update Date | 2011-07-08 |
| Authorized Official Name | DR. GEORGE P DE MAERTELAERE (DR/CEO) |
| Authorized Official Telephone | 2079905711 |
| Authorized Official Credential | DC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111NN1001X |
Chiropractor Specialization: Nutrition |
CR739 | ME | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ME | 122650099 | 05 |
| Street Address |
304 HANCOCK ST SUITE 2G |
| City | BANGOR |
| State | ME |
| Zip Code | 04401-6573 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053324293 | Carolyn Alice Wilson | Internal Medicine | 304 Hancock St, Bangor Va Clinic, Bangor, ME 04401 | 2006-08-15 |
| 1245601855 | Lucy Barnhart | Social Worker | 304 Hancock St, Suite 2h, Bangor, ME 04401-6573 | 2015-10-08 |
| 1811276124 | Jennifer Lynn Lynch | Mechanotherapist | 304 Hancock St, Ste 2g, Bangor, ME 04401-6573 | 2011-08-04 |
| 1205136058 | Cindy R Mclellan | Social Worker | 304 Hancock St, Bangor, ME 04401-6573 | 2010-10-27 |
| 1316247240 | Christine Bea Leighton | Social Worker | 304 Hancock St, Suite 2c, Bangor, ME 04401-6573 | 2010-10-26 |
| 1578863536 | Stephanie Elaine Jacobs Kisilywicz | Social Worker | 304 Hancock St, Suite 2c, Bangor, ME 04401-6573 | 2010-10-25 |
| 1417267642 | Pamalee Jean Ashmore | Social Worker | 304 Hancock St, Suite 2c, Bangor, ME 04401-6573 | 2010-10-21 |
| 1124336060 | Aimee Lee Brown | Case Manager/Care Coordinator | 304 Hancock St, Suite 2c, Bangor, ME 04401-6573 | 2010-09-14 |
| 1720394117 | Caley Lynn Yoder | Social Worker | 304 Hancock St, Bangor, ME 04401-6573 | 2010-08-24 |
| 1164738613 | Meghan L Hannington | Social Worker | 304 Hancock St, Suite 2c, Bangor, ME 04401-6573 | 2010-08-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184222523 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 110 Longview Dr, Bangor, ME 04401 | 2020-10-16 |
| 1033737937 | Daniel John Phulman | Counselor | 202 Exchange Street, Bangor, ME 04401 | 2020-07-08 |
| 1770104358 | Elizabeth Sarah Caruson | Physician Assistant | 417 State Street Webber Medical Building, East St, Ste. 121, Bangor, ME 04401 | 2020-05-05 |
| 1053961300 | Erika Dean | Occupational Therapist | 84 Sylvan Rd., Bangor, ME 04401 | 2019-09-18 |
| 1942853635 | Wildworks Therapy, Pllc | Occupational Therapist | 123 Mt Hope Ave, Bangor, ME 04401 | 2019-07-22 |
| 1255999173 | Jessica Arbisi | Physician Assistant | 1 Northeast Drive, Bangor, ME 04401 | 2019-06-05 |
| 1699232041 | Ehab Khamis Elhefnawi | Anesthesiology | Emmc Anesthesia Professional Service, 489 State Street, Bangor, ME 04401 | 2019-02-21 |
| 1477028884 | Zvorufura Makura | Otolaryngology | 885 Union Street, Ste 145, Bangor, ME 04401 | 2018-10-11 |
| 1255826541 | Lindsey M Fields | Optometrist | 955 Broadway Eye Center Northeast Dba Northeast Eyecare, Bangor, ME 04401 | 2018-06-28 |
| 1992211338 | Debra J Mcintyre | Counselor | 157 Park Street, #5, Bangor, ME 04401 | 2017-12-21 |
| Find all providers in zip 04401 | ||||
| Taxonomy Code | 111NN1001X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| Specialization | Nutrition |
| Chiropractic Nutrition is that specialty within the chiropractic profession that deals with the overall factors that affect the patient's ability to maintain the manipulative correction and thus sustain better neurological integrity. The Chiropractic Nutrition Specialist will perform extensive research on the patient's previous health history, ethnicity, and any family history related to what the patient is being treated for. Patients fill out questionnaires concerning dietary and sleep patterns and previous or present symptomology. A nutrition examination would be performed to assess areas such as absorption rates, adrenal function, kidney health, lung health etc. The patient is often instructed on how to check the pH of their saliva and urine, test for the presence of Candida Albicans, etc., at home. Outside laboratory testing includes blood, urine, hair analysis, food allergy testing etc. The patient’s prescription and over the counter medications are recorded and analyzed. |
| Notes: Source: American Chiropractic Association, 2008 [7/1/2009: definition added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588613608 | Caitlin M. Morrisroe | Chiropractor | 1 City Ctr, Portland, ME 04101-6420 | 2006-05-08 |
| 1518939859 | James Ronald Lavallee | Chiropractor | 619 Leighton Rd, Augusta, ME 04330-7809 | 2006-02-02 |
| 1447693296 | Amber Hayes | Chiropractor | 808 Stevens Ave, Portland, ME 04103-2623 | 2013-04-11 |
| 1902111347 | Louise Edith Bryant | Chiropractor | 1 Front St, Bath, ME 04530-2492 | 2010-08-10 |
| 1558582593 | J. Stephen Anderson | Chiropractor | 342 Augusta Rd, Suite 1, Winslow, ME 04901-0788 | 2007-05-01 |
| 1912959628 | Morrisroe Chiropractic Inc | Chiropractor | 1 City Ctr, Portland, ME 04101-6420 | 2006-05-17 |
Please comment or provide details below to improve the information on NORTHEAST CHIROPRACTIC CENTER PA.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.