Provider Demographics
NPI:1154140606
Name:CFHC PC
Entity type:Organization
Organization Name:CFHC PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DC
Authorized Official - Prefix:DR
Authorized Official - First Name:ISAIAH
Authorized Official - Middle Name:
Authorized Official - Last Name:STEPHAN
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:207-873-5161
Mailing Address - Street 1:138 HALIFAX ST
Mailing Address - Street 2:
Mailing Address - City:WINSLOW
Mailing Address - State:ME
Mailing Address - Zip Code:04901-7656
Mailing Address - Country:US
Mailing Address - Phone:207-873-5161
Mailing Address - Fax:
Practice Address - Street 1:138 HALIFAX ST
Practice Address - Street 2:
Practice Address - City:WINSLOW
Practice Address - State:ME
Practice Address - Zip Code:04901-7656
Practice Address - Country:US
Practice Address - Phone:207-873-5161
Practice Address - Fax:207-873-5163
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-10-10
Last Update Date:2024-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty