Provider Demographics
NPI:1902926710
Name:CHIROPRACTIC WORKS, P.C.
Entity Type:Organization
Organization Name:CHIROPRACTIC WORKS, P.C.
Other - Org Name:CHIROPRACTIC WORKS, INC.
Other - Org Type:Doing Business As
Authorized Official - Title/Position:SECRETARY / TREASURER
Authorized Official - Prefix:DR
Authorized Official - First Name:NANCY
Authorized Official - Middle Name:A
Authorized Official - Last Name:FLOLID
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:207-363-5966
Mailing Address - Street 1:PO BOX 551
Mailing Address - Street 2:
Mailing Address - City:YORK
Mailing Address - State:ME
Mailing Address - Zip Code:03909-0551
Mailing Address - Country:US
Mailing Address - Phone:207-363-5966
Mailing Address - Fax:
Practice Address - Street 1:1 BRICKYARD LN
Practice Address - Street 2:SUITE BB
Practice Address - City:YORK
Practice Address - State:ME
Practice Address - Zip Code:03909-1686
Practice Address - Country:US
Practice Address - Phone:207-363-5966
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-29
Last Update Date:2013-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MEMM5187Medicare PIN
MEMM5037Medicare PIN
MEMM5038Medicare PIN
MEKX0004Medicare PIN