Provider Demographics
NPI:1225275241
Name:MORIN CHIROPRACTIC PA
Entity Type:Organization
Organization Name:MORIN CHIROPRACTIC PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:PAUL
Authorized Official - Middle Name:NORMAND
Authorized Official - Last Name:MORIN
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:207-784-8002
Mailing Address - Street 1:862 MINOT AVE
Mailing Address - Street 2:
Mailing Address - City:AUBURN
Mailing Address - State:ME
Mailing Address - Zip Code:04210-3717
Mailing Address - Country:US
Mailing Address - Phone:207-784-8002
Mailing Address - Fax:207-784-7917
Practice Address - Street 1:862 MINOT AVE
Practice Address - Street 2:
Practice Address - City:AUBURN
Practice Address - State:ME
Practice Address - Zip Code:04210-3717
Practice Address - Country:US
Practice Address - Phone:207-784-8002
Practice Address - Fax:207-784-7917
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-01-13
Last Update Date:2017-04-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service
Provider Identifiers
StateIdentifier IDID TypeIssuer
ME0015011Medicare PIN