NPI | 1790795193 |
---|---|
Other Name | ESTABROOK SULLOWAY, D.C. |
Entity Type | Organization |
Authorized Contact | STEWART ESTABROOK SULLOWAY Doctor Of Chiropractic, President 207-647-3504 |
Organization Subpart ? | No |
Primary Taxonomy | 111NS0005X Chiropractor Sports Physician (Licence: ME CR755) |
Enumeration Date | 2006-08-08 |
Last Update Date | 2020-08-22 |