Provider Demographics
NPI:1598180424
Name:MEGQUIER, NIA (DC FIAMA)
Entity Type:Individual
Prefix:
First Name:NIA
Middle Name:
Last Name:MEGQUIER
Suffix:
Gender:F
Credentials:DC FIAMA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 356
Mailing Address - Street 2:
Mailing Address - City:MOUNT DESERT
Mailing Address - State:ME
Mailing Address - Zip Code:04660-0356
Mailing Address - Country:US
Mailing Address - Phone:207-460-9610
Mailing Address - Fax:
Practice Address - Street 1:416 SABATTUS ST
Practice Address - Street 2:
Practice Address - City:LEWISTON
Practice Address - State:ME
Practice Address - Zip Code:04240-5430
Practice Address - Country:US
Practice Address - Phone:207-460-9610
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-03-01
Last Update Date:2024-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MECR2190111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor