DR. DEREK M EAGAN (NPI# 1235367905) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235367905 |
| Entity Type | Individual |
| Full Name | DR. DEREK M EAGAN |
| Credential | D.C. |
| Practice Address |
86 South High St Bridgton ME 04009-4118 |
| Mailing Address |
Po Box 20 Bridgton ME 04009-0020 |
| Practice Telephone | 2076479900 |
| Practice Fax Number | 2076479909 |
| Mailing Telephone | 2076479900 |
| Mailing Fax Number | 2076479909 |
| Enumeration Date | 2009-07-01 |
| Last Update Date | 2010-07-30 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | CR1910 | ME | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ME | 434519300 | 05 |
| Street Address |
86 SOUTH HIGH ST |
| City | BRIDGTON |
| State | ME |
| Zip Code | 04009-4118 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780158477 | Kimberly R. Leighton | Specialist | 278 Middle Ridge Rd., Bridgton, ME 04009 | 2019-01-15 |
| 1316435407 | Caitlin D Ambo | Counselor | 32 No High Street, Bridgton, ME 04009 | 2018-04-25 |
| 1205215290 | Brianna J Meister | Counselor | 37 No High Street, Bridgton, ME 04009 | 2015-05-22 |
| 1013120898 | Maine Administrative School District No 61 | Local Education Agency (LEA) | 900 Bridgton Road, Bridgton, ME 04009 | 2007-05-08 |
| 1114051984 | R. Andrew Derstine | Counselor | 236a Portland Rd, Bridgton, ME 04009 | 2007-03-15 |
| 1184784878 | Good Neighbors, Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 119 Sandy Creek Rd, Bridgton, ME 04009 | 2006-12-11 |
| 1578593570 | Lake Region Physical Therapy Pa | Physical Therapist | 593 Harrison Rd, Bridgton, ME 04009 | 2006-07-04 |
| 1164783452 | Kevin Jenkins | Internal Medicine | 10 Hospital Dr, Bridgton, ME 04009 | 2012-06-03 |
| 1225343940 | George T Lee | Pharmacist | 19 Portland St, Bridgton, ME 04009 | 2010-08-18 |
| 1164611703 | Liane Muller, D.o., Pa | Clinic/Center | 63 Main St, Suite A, Bridgton, ME 04009 | 2007-10-19 |
| Find all providers in zip 04009 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225446586 | Haroldson Health Services LLC | Chiropractor | 300 Portland Rd, Bridgton, ME 04009-4227 | 2014-07-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427664648 | Benjamin Allen Rogers | Chiropractor | 8 Hill Way Unit 10, Cape Elizabeth, ME 04107-2037 | 2020-09-22 |
| 1275154544 | Summit Chiropractic | Chiropractor | 720 Cedar Grove Rd, Dresden, ME 04342-3401 | 2020-04-28 |
| 1700419751 | Family Wellness Chiropractic Inc. | Chiropractor | 8 Morgan Ln, Windham, ME 04062-4069 | 2020-02-18 |
| 1912546128 | Kristen Leigh Moody | Chiropractor | 500 Us Route 1 Ste 104, Yarmouth, ME 04096-6817 | 2020-01-06 |
| 1174096309 | Vanidestine Chiropractic, Inc | Chiropractor | 336 Mount Hope Ave Ste 11, Bangor, ME 04401-4236 | 2019-01-10 |
| 1659861466 | Ruth Lynette Varney | Chiropractor | 1071 Auburn Rd Ste F, Turner, ME 04282-4157 | 2018-05-16 |
| 1699264143 | My Life Well Adjusted LLC | Chiropractor | 268 State St Ste 1, Bangor, ME 04401-5417 | 2018-05-09 |
| 1053808345 | Tyler Kuntz | Chiropractor | 21 Daigle Ln Ste 103, Sanford, ME 04073-3939 | 2018-04-23 |
| 1326551888 | Casey Hope Lapierre | Chiropractor | 21 Daigle Lane, Sanford, ME 04073 | 2017-11-07 |
| 1588174023 | Rebecca Brouillette | Chiropractor | 57 Jefferson St, Biddeford, ME 04005-2540 | 2017-10-11 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.