Provider Demographics
NPI:1922163831
Name:ROBERT ANDREW MAIER DC
Entity Type:Organization
Organization Name:ROBERT ANDREW MAIER DC
Other - Org Name:SUDBURY FAMILY CHIROPRACTIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:A
Authorized Official - Last Name:MAIER
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:978-443-3700
Mailing Address - Street 1:400 BOSTON POST RD
Mailing Address - Street 2:STE 2D
Mailing Address - City:SUDBURY
Mailing Address - State:MA
Mailing Address - Zip Code:01776-3009
Mailing Address - Country:US
Mailing Address - Phone:978-443-3700
Mailing Address - Fax:978-443-6611
Practice Address - Street 1:400 BOSTON POST RD
Practice Address - Street 2:STE 2D
Practice Address - City:SUDBURY
Practice Address - State:MA
Practice Address - Zip Code:01776-3009
Practice Address - Country:US
Practice Address - Phone:978-443-3700
Practice Address - Fax:978-443-6611
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-22
Last Update Date:2014-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MAY40000OtherBCBS MA