Provider Demographics
NPI:1164723029
Name:MCNALLY, ELIZABETH MAEVE (DC DACNB)
Entity Type:Individual
Prefix:DR
First Name:ELIZABETH
Middle Name:MAEVE
Last Name:MCNALLY
Suffix:
Gender:F
Credentials:DC DACNB
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:331 MAINE ST STE 12
Mailing Address - Street 2:
Mailing Address - City:BRUNSWICK
Mailing Address - State:ME
Mailing Address - Zip Code:04011-3359
Mailing Address - Country:US
Mailing Address - Phone:207-406-4874
Mailing Address - Fax:207-560-9376
Practice Address - Street 1:331 MAINE ST STE 12
Practice Address - Street 2:
Practice Address - City:BRUNSWICK
Practice Address - State:ME
Practice Address - Zip Code:04011-3359
Practice Address - Country:US
Practice Address - Phone:207-406-4874
Practice Address - Fax:207-560-9376
Is Sole Proprietor?:Yes
Enumeration Date:2010-11-09
Last Update Date:2020-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MECR1987111NN0400X, 111NN0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NN0400XChiropractic ProvidersChiropractorNeurology