Provider Demographics
NPI:1063441376
Name:RINGUETTE, STEVEN JOSEPH (DC)
Entity type:Individual
Prefix:DR
First Name:STEVEN
Middle Name:JOSEPH
Last Name:RINGUETTE
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:260 ELM ST
Mailing Address - Street 2:
Mailing Address - City:BIDDEFORD
Mailing Address - State:ME
Mailing Address - Zip Code:04005-3015
Mailing Address - Country:US
Mailing Address - Phone:207-282-9976
Mailing Address - Fax:207-282-9976
Practice Address - Street 1:260 ELM ST
Practice Address - Street 2:
Practice Address - City:BIDDEFORD
Practice Address - State:ME
Practice Address - Zip Code:04005-3015
Practice Address - Country:US
Practice Address - Phone:207-282-9976
Practice Address - Fax:207-282-9976
Is Sole Proprietor?:No
Enumeration Date:2006-06-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MECR892111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
ME042845OtherBCBS/ANTHEM PROV ID
MEU38957Medicare UPIN
MEMM6065Medicare ID - Type UnspecifiedMEDICARE PRACTITIONER ID