Dr. Stewart Estabrook Sulloway
Rehabilitation Chiropractor
55 Portland Rd
Bridgton
, Maine 04009-1230
Dr. Stewart Estabrook Sulloway
Rehabilitation Chiropractor
55 Portland Rd
Bridgton
, Maine 04009-1230
(207) 647-5862
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About
Features
Specialties
- Rehabilitation Chiropractor
Languages spoken
- English
Location
First Address
- Dr. Stewart Estabrook Sulloway
- 55 Portland Rd
- Bridgton, ME
- Zip : 04009-1230
- Fax : (207) 647-5862
- Phone : (207) 647-3504
Second Address
- Dr. Stewart Estabrook Sulloway
- 55 Portland Rd
- Bridgton, ME
- Zip : 04009-1230
- Fax : (207) 647-5862
- Phone : (207) 647-3504
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FAQs
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What is Dr. Stewart Estabrook Sulloway ’s gender?
Is Dr. Stewart Estabrook Sulloway a sole practitioner?
Is Dr. Stewart Estabrook Sulloway accepting new patients?
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Does Dr. Stewart Estabrook Sulloway have any license restrictions?
Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 111NR0400X | Rehabilitation Chiropractor | CR755 | ME |
National Provider Identifier
| NPI | 1326251547 |
|---|---|
| Provider Name | Dr. Stewart Estabrook Sulloway |
| First Address | Bridgton, ME 04009-1230 |
| Second Address | Bridgton, ME 04009-1230 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 07/05/2007 |
| Last Update Date | 08/07/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 039429 | BCBS (01) | ME |
| 234252 | AETNA (01) | |
| M20915 | CIGNA (01) | |
| T81824 | (02) | ME |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.