Provider Demographics
NPI:1548843261
Name:MOVEMENT MED, LLC
Entity type:Organization
Organization Name:MOVEMENT MED, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIROPRACTOR/MANAGER
Authorized Official - Prefix:DR
Authorized Official - First Name:JOEL
Authorized Official - Middle Name:DAVID
Authorized Official - Last Name:CHALOUX
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:203-525-9904
Mailing Address - Street 1:1317 STATE HIGHWAY 102
Mailing Address - Street 2:STE B
Mailing Address - City:BAR HARBOR
Mailing Address - State:ME
Mailing Address - Zip Code:04609-7018
Mailing Address - Country:US
Mailing Address - Phone:207-801-9277
Mailing Address - Fax:207-801-9289
Practice Address - Street 1:1317 STATE HIGHWAY 102
Practice Address - Street 2:STE B
Practice Address - City:BAR HARBOR
Practice Address - State:ME
Practice Address - Zip Code:04609-7018
Practice Address - Country:US
Practice Address - Phone:207-801-9277
Practice Address - Fax:207-801-9289
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-04-30
Last Update Date:2021-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center