Provider Demographics
NPI:1225112972
Name:MYEROWITZ, ZEV J (DC LAC)
Entity Type:Individual
Prefix:DR
First Name:ZEV
Middle Name:J
Last Name:MYEROWITZ
Suffix:
Gender:M
Credentials:DC LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:291 MAIN RD.
Mailing Address - Street 2:SUITE A
Mailing Address - City:HOLDEN
Mailing Address - State:ME
Mailing Address - Zip Code:04429
Mailing Address - Country:US
Mailing Address - Phone:207-989-0000
Mailing Address - Fax:207-989-7459
Practice Address - Street 1:291 MAIN RD.
Practice Address - Street 2:SUITE A
Practice Address - City:HOLDEN
Practice Address - State:ME
Practice Address - Zip Code:04429
Practice Address - Country:US
Practice Address - Phone:207-989-0000
Practice Address - Fax:207-989-7459
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-25
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MECR533111N00000X
MEAC217171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered111N00000XChiropractic ProvidersChiropractor
Not Answered171100000XOther Service ProvidersAcupuncturist
Provider Identifiers
StateIdentifier IDID TypeIssuer
ME043487OtherANTHEM BLUE CROSS BLUE SH
ME043487OtherANTHEM BLUE CROSS BLUE SH