Basic Information
| Provider Information | |||||||||
| NPI: | 1205126778 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | FALMOUTH OSTEOPATHY & ACUPUNCTURE | ||||||||
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| Mailing Information | |||||||||
| Address1: | PO BOX 6071 | ||||||||
| Address2: | |||||||||
| City: | FALMOUTH | ||||||||
| State: | ME | ||||||||
| PostalCode: | 041056071 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2077816550 | ||||||||
| FaxNumber: | 2078392197 | ||||||||
| Practice Location | |||||||||
| Address1: | 6 FUNDY RD STE 400 | ||||||||
| Address2: | |||||||||
| City: | FALMOUTH | ||||||||
| State: | ME | ||||||||
| PostalCode: | 041051780 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2077816560 | ||||||||
| FaxNumber: | 2078392197 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 04/18/2011 | ||||||||
| LastUpdateDate: | 09/15/2014 | ||||||||
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| AuthorizedOfficialLastName: | THIEME | ||||||||
| AuthorizedOfficialFirstName: | RALPH | ||||||||
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| AuthorizedOfficialTitleorPosition: | OWNER / PROVIDER | ||||||||
| AuthorizedOfficialTelephone: | 2077816560 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialCredential: | DO | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 204D00000X | 1596 | ME | Y | 193400000X SINGLE SPECIALTY GROUP | Allopathic & Osteopathic Physicians | Neuromusculoskeletal Medicine & OMM |
No ID Information.