Provider Demographics
NPI:1659389500
Name:MAURER CHIROPRACTIC P C
Entity Type:Organization
Organization Name:MAURER CHIROPRACTIC P C
Other - Org Name:MAURER CHIROPRACTIC DR PHIL D MAURER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT CHIROPRACTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:PHILIP
Authorized Official - Middle Name:D
Authorized Official - Last Name:MAURER
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:406-628-9322
Mailing Address - Street 1:309 1ST AVE
Mailing Address - Street 2:
Mailing Address - City:LAUREL
Mailing Address - State:MT
Mailing Address - Zip Code:59044-3031
Mailing Address - Country:US
Mailing Address - Phone:406-628-9322
Mailing Address - Fax:406-628-9321
Practice Address - Street 1:309 1ST AVE
Practice Address - Street 2:
Practice Address - City:LAUREL
Practice Address - State:MT
Practice Address - Zip Code:59044-3031
Practice Address - Country:US
Practice Address - Phone:406-628-9322
Practice Address - Fax:406-628-9321
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-04
Last Update Date:2024-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT840111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MTMSF1256163OtherMONTANA STATE FUND
MT000041143OtherBLUE CROSS BLUE SHIELD
P00183422OtherRAILROAD MEDICARE