DR. BROCK WILLIAM MATTSON (NPI# 1790934537) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790934537 |
| Entity Type | Individual |
| Full Name | DR. BROCK WILLIAM MATTSON |
| Credential | D.C. |
| Practice Address |
150 Bucksport Rd Ellsworth ME 04605-2224 |
| Mailing Address |
150 Bucksport Rd. Ellsworth ME 04605 |
| Practice Telephone | 2076674678 |
| Practice Fax Number | 2076674679 |
| Mailing Telephone | 2076674678 |
| Mailing Fax Number | 2076674679 |
| Enumeration Date | 2008-09-17 |
| Last Update Date | 2016-11-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | CR1906 | ME | Chiropractic Providers |
| N | 111N00000X | Chiropractor | 03563 | MD | Chiropractic Providers |
| Street Address |
150 BUCKSPORT RD |
| City | ELLSWORTH |
| State | ME |
| Zip Code | 04605-2224 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881709277 | Bob G. Nesiba | Chiropractor | 150 Bucksport Rd, Ellsworth, ME 04605-2224 | 2006-08-19 |
| 1386117935 | Richard White | Chiropractor | 150 Bucksport Rd, Ellsworth, ME 04605-2224 | 2019-01-07 |
| 1922540301 | Active Chiropractic and Wellness | Chiropractor | 150 Bucksport Rd, Ellsworth, ME 04605-2224 | 2016-11-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760940464 | Mary Elizabeth Wagstaff | Occupational Therapist | Seaport Village Healthcare, 19 General Moore Way, Ellsworth, ME 04605 | 2019-03-12 |
| 1154784668 | Black Dog Medical Pa | Internal Medicine | 11 Madison Avenue, Lamoine, ME 04605 | 2016-04-01 |
| 1528466687 | Eyecare Now | Point of Service | 248 State St., Ste. 7, Ellsworth, ME 04605 | 2014-12-05 |
| 1104245364 | Elizabeth Arntzen | Massage Therapist | 61 Pine St., Ellsworth, ME 04605 | 2014-04-15 |
| 1992144794 | Kenneth L Senter | Family Medicine | 248 State St., Ellsworth Free Medical Clinic, Ellsworth, ME 04605 | 2013-06-14 |
| 1639465248 | Lynne Marie Betz | Dental Hygienist | 52 Christian Ridge Road, Ellsworth, ME 04605 | 2011-06-22 |
| 1215238431 | Kimberly Ann Burgess | Social Worker | 23 Carriage Way, Ellsworth, ME 04605 | 2010-11-04 |
| 1962713115 | Springy Pond Farm | Voluntary or Charitable | 562 Springy Pond Rd., Otis, ME 04605 | 2010-06-23 |
| 1851629851 | Astor Charlene Gillis | Counselor | 59 Franklin St., Suite B, Ellsworth, ME 04605 | 2009-12-02 |
| 1326372723 | Patricia Brown Orchard | Community Health Worker | 10 Water Street, Suite 124, Ellsworth, ME 04605 | 2009-10-01 |
| Find all providers in zip 04605 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124548201 | Samantha K Johnson | Chiropractor | 187 East Main, Ellsworth, WI 54011 | 2017-06-21 |
| 1255889192 | Oak Creek Chiropractic, LLC. | Chiropractor | 519 Prairie Ln, Ellsworth, KS 67439-1504 | 2016-09-20 |
| 1023181484 | Ronald Scott Nyeggen | Chiropractor | 105 North Piety Street, Ellsworth, WI 54011-0335 | 2006-11-15 |
| 1578509790 | Gregory Winton Bernard | Chiropractor | 330 West Main Street, Ellsworth, WI 54011-5087 | 2006-06-22 |
| 1134165855 | Wayne Keith Wallert | Chiropractor | 307 Webb, Ellsworth, KS 67439 | 2006-06-21 |
| 1295725695 | Alan William Weymouth | Chiropractor | 194 Beechland Rd, Ellsworth, ME 04605-2536 | 2005-10-26 |
| 1417944430 | Jeffrey Scott Torkelson | Chiropractor | 226 N Douglas Ave, Ellsworth, KS 67439-3208 | 2005-10-04 |
| 1992701056 | Kyle Timothy Kollbaum | Chiropractor | 430 N Maple St, Ste 200, Ellsworth, WI 54011-9029 | 2005-06-23 |
| 1386117935 | Richard White | Chiropractor | 150 Bucksport Rd, Ellsworth, ME 04605-2224 | 2019-01-07 |
| 1710456173 | Kyle J Cress | Chiropractor | 330 W Main St, Ellsworth, WI 54011-5087 | 2018-11-15 |
| Find all providers in ELLSWORTH | ||||
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| 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.