Dr. Thomas J Vanidestine Jr. is a Bangor, Maine based male chiropractor who is specialized as General Chiropractor. Active license number of Dr. Thomas J Vanidestine Jr. as General Chiropractor is CR814 in Maine. Dr. Thomas J Vanidestine Jr. is qualified as a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
Complete Profile:
Dr. Thomas J Vanidestine Jr. speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Specialization:
Chiropractor
Credentials:
DC, CCSP
Gender:
Male
Practice Address:
336 Mount Hope Ave, Suite 11, Bangor, Maine, 04401-4236
Phone:
207-942-2800
Fax:
207-990-2362
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
NPI Number:
1538108022
NPI Enumeration Date:
06 Jun, 2006
NPI Last Update On:
01 Dec, 2016
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Thomas J Vanidestine Jr. are as mentioned below.
License Number
Specialization
State
Status
CR814
Chiropractor
Maine
Primary
Other Medical Identifiers:
Other legacy medical identifiers associated with Dr. Thomas J Vanidestine Jr. such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
001039
Other
Maine
BLUE CROSS/ANTHEM
121660000
Medicaid
Maine
121660099
Medicaid
Maine
5734579
Other
Maine
CIGNA
5314274
Other
Maine
AETNA
P00282285
Other
Maine
RAILROAD MEDICARE
610664
Other
Maine
GREAT WEST/ACN
68974
Other
Maine
FIRST HEALTH
MN0080
Other
Maine
HARVARD PILGRIM
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
336 Mount Hope Ave, Suite 11 Bangor, Maine
Zip:
04401-4236
Phone Number:
207-942-2800
Fax Number:
207-990-2362
Patients can reach Dr. Thomas J Vanidestine Jr. at 336 Mount Hope Ave, Suite 11, Bangor, Maine or can call to book an appointment on 207-942-2800. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 May, 2024.