Life Source Family Chiropractic LLC

NPI #1912380205 in Ellsworth, Maine

Provider Information

NPI Number: 1912380205
Entity Type: Organization
Organization Name: Life Source Family Chiropractic LLC
Primary Specialty: Chiropractor
Enumeration Date: Jul 3, 2015
Last Updated: Jul 3, 2015

Practice Location

Address: 24 CHURCH ST
City: Ellsworth
State: Maine
ZIP Code: 04605-1913
Phone: (207) 667-5432

Authorized Official

Name: DR. MEGAN PINKHAM, D.C.
Title: CO-OWNER
Phone: (207) 667-5432

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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