Provider Demographics
NPI:1225185572
Name:AUGAT, THOMAS J (DC)
Entity Type:Individual
Prefix:DR
First Name:THOMAS
Middle Name:J
Last Name:AUGAT
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 1:9 PLEASANT ST
Mailing Address - Street 2:
Mailing Address - City:BRUNSWICK
Mailing Address - State:ME
Mailing Address - Zip Code:04011-2247
Mailing Address - Country:US
Mailing Address - Phone:207-725-7177
Mailing Address - Fax:207-725-5600
Practice Address - Street 1:9 PLEASANT ST
Practice Address - Street 2:
Practice Address - City:BRUNSWICK
Practice Address - State:ME
Practice Address - Zip Code:04011-2247
Practice Address - Country:US
Practice Address - Phone:207-725-7177
Practice Address - Fax:207-725-5600
Is Sole Proprietor?:No
Enumeration Date:2007-01-05
Last Update Date:2015-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MECR737111NS0005X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NS0005XChiropractic ProvidersChiropractorSports Physician
Provider Identifiers
StateIdentifier IDID TypeIssuer
MET31406Medicare UPIN
MEAUMM2012Medicare ID - Type Unspecified