Provider Demographics
NPI:1225591696
Name:MERRILL FAMILY CHIROPRACTIC, INC.
Entity Type:Organization
Organization Name:MERRILL FAMILY CHIROPRACTIC, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:NANCY
Authorized Official - Middle Name:
Authorized Official - Last Name:MERRILL
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:207-633-3194
Mailing Address - Street 1:PO BOX 768
Mailing Address - Street 2:
Mailing Address - City:BOOTHBAY
Mailing Address - State:ME
Mailing Address - Zip Code:04537-0768
Mailing Address - Country:US
Mailing Address - Phone:207-380-3191
Mailing Address - Fax:207-633-3194
Practice Address - Street 1:21 COMMON DR
Practice Address - Street 2:
Practice Address - City:BOOTHBAY
Practice Address - State:ME
Practice Address - Zip Code:04537-4600
Practice Address - Country:US
Practice Address - Phone:207-633-3194
Practice Address - Fax:207-633-3194
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-04-11
Last Update Date:2019-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center