Provider Demographics
NPI:1225180151
Name:MORIN, ROK ANDRE (DC)
Entity Type:Individual
Prefix:DR
First Name:ROK
Middle Name:ANDRE
Last Name:MORIN
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 1:36 SCHOOL STREET
Mailing Address - Street 2:
Mailing Address - City:BATH
Mailing Address - State:ME
Mailing Address - Zip Code:04530
Mailing Address - Country:US
Mailing Address - Phone:207-443-2635
Mailing Address - Fax:207-443-1244
Practice Address - Street 1:36 SCHOOL ST
Practice Address - Street 2:
Practice Address - City:BATH
Practice Address - State:ME
Practice Address - Zip Code:04530
Practice Address - Country:US
Practice Address - Phone:207-443-2635
Practice Address - Fax:207-443-1244
Is Sole Proprietor?:No
Enumeration Date:2007-01-18
Last Update Date:2013-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MECR1292111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor