Provider Demographics
NPI:1083936538
Name:SCARBOROUGH FAMILY CHIROPRACTIC, P.C.
Entity Type:Organization
Organization Name:SCARBOROUGH FAMILY CHIROPRACTIC, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:STUART
Authorized Official - Middle Name:L
Authorized Official - Last Name:CAYER
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:207-885-9415
Mailing Address - Street 1:20 BLACK POINT RD
Mailing Address - Street 2:
Mailing Address - City:SCARBOROUGH
Mailing Address - State:ME
Mailing Address - Zip Code:04074-9378
Mailing Address - Country:US
Mailing Address - Phone:207-885-9415
Mailing Address - Fax:207-885-9419
Practice Address - Street 1:20 BLACK POINT RD
Practice Address - Street 2:
Practice Address - City:SCARBOROUGH
Practice Address - State:ME
Practice Address - Zip Code:04074-9378
Practice Address - Country:US
Practice Address - Phone:207-885-9415
Practice Address - Fax:207-885-9419
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-02-25
Last Update Date:2019-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MECR1773111N00000X
MECR1099111N00000X
111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty