Provider Demographics
NPI:1891764734
Name:DR ZEV J MYEROWITZ DC PA
Entity Type:Organization
Organization Name:DR ZEV J MYEROWITZ DC PA
Other - Org Name:MYEROWITZ CHIROPRACTIC & ACUPUNCTURE CLINIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ZEV
Authorized Official - Middle Name:J
Authorized Official - Last Name:MYEROWITZ
Authorized Official - Suffix:SR
Authorized Official - Credentials:DC LAC
Authorized Official - Phone:207-989-0000
Mailing Address - Street 1:291 MAIN RD
Mailing Address - Street 2:STE A
Mailing Address - City:HOLDEN
Mailing Address - State:ME
Mailing Address - Zip Code:04429
Mailing Address - Country:US
Mailing Address - Phone:207-989-0000
Mailing Address - Fax:207-989-7459
Practice Address - Street 1:291 MAIN RD
Practice Address - Street 2:STE A
Practice Address - City:HOLDEN
Practice Address - State:ME
Practice Address - Zip Code:04429
Practice Address - Country:US
Practice Address - Phone:207-989-0000
Practice Address - Fax:207-989-7459
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-03-14
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MECR533111N00000X
MEAC217171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Not Answered111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Not Answered171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
043487OtherANTHEM
T31327Medicare UPIN
043487OtherANTHEM