Provider Demographics
NPI:1154621092
Name:LAFLAMME, SETH C (DC)
Entity type:Individual
Prefix:
First Name:SETH
Middle Name:C
Last Name:LAFLAMME
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 1:235 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:SOUTH BERWICK
Mailing Address - State:ME
Mailing Address - Zip Code:03908-1543
Mailing Address - Country:US
Mailing Address - Phone:207-704-0298
Mailing Address - Fax:207-704-0389
Practice Address - Street 1:235 MAIN ST
Practice Address - Street 2:
Practice Address - City:SOUTH BERWICK
Practice Address - State:ME
Practice Address - Zip Code:03908-1543
Practice Address - Country:US
Practice Address - Phone:207-704-0298
Practice Address - Fax:207-704-0389
Is Sole Proprietor?:Yes
Enumeration Date:2010-10-26
Last Update Date:2011-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH875111N00000X
MECR2028111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
NHAA193352OtherHARVARD PILGRIM HEALTH CARE OF NEW ENGLAND
NH001954501Medicare PIN