Provider Demographics
NPI:1356690655
Name:STEPHEN GARBARINI D.C. LLC
Entity type:Organization
Organization Name:STEPHEN GARBARINI D.C. LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:PATRICIA
Authorized Official - Middle Name:
Authorized Official - Last Name:GARBARINI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:207-369-9005
Mailing Address - Street 1:60 LOWELL STREET
Mailing Address - Street 2:SUITE 12
Mailing Address - City:RUMFORD
Mailing Address - State:ME
Mailing Address - Zip Code:04276
Mailing Address - Country:US
Mailing Address - Phone:207-369-9005
Mailing Address - Fax:207-369-9005
Practice Address - Street 1:60 LOWELL ST
Practice Address - Street 2:SUITE 12
Practice Address - City:RUMFORD
Practice Address - State:ME
Practice Address - Zip Code:04276-2064
Practice Address - Country:US
Practice Address - Phone:207-369-9005
Practice Address - Fax:207-369-9005
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-08-31
Last Update Date:2012-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MECR467111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty