Provider Demographics
NPI:1124211396
Name:AUCK, MERLE STEVIN (DC)
Entity Type:Individual
Prefix:DR
First Name:MERLE
Middle Name:STEVIN
Last Name:AUCK
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 1:111 JENNETTE DR
Mailing Address - Street 2:
Mailing Address - City:BOARDMAN
Mailing Address - State:OH
Mailing Address - Zip Code:44512-1548
Mailing Address - Country:US
Mailing Address - Phone:330-519-3041
Mailing Address - Fax:330-788-0682
Practice Address - Street 1:3610 MARKET ST
Practice Address - Street 2:
Practice Address - City:YOUNGSTOWN
Practice Address - State:OH
Practice Address - Zip Code:44507-2012
Practice Address - Country:US
Practice Address - Phone:330-783-3000
Practice Address - Fax:330-783-3998
Is Sole Proprietor?:Yes
Enumeration Date:2007-08-21
Last Update Date:2015-05-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH2350111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor