Provider Demographics
NPI:1982033841
Name:E. PAUL EMERY, D.C., P.A.
Entity Type:Organization
Organization Name:E. PAUL EMERY, D.C., P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:EARL
Authorized Official - Middle Name:PAUL
Authorized Official - Last Name:EMERY
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:207-454-7311
Mailing Address - Street 1:PO BOX 756
Mailing Address - Street 2:
Mailing Address - City:CALAIS
Mailing Address - State:ME
Mailing Address - Zip Code:04619-0756
Mailing Address - Country:US
Mailing Address - Phone:207-454-7311
Mailing Address - Fax:
Practice Address - Street 1:461 HWY 1
Practice Address - Street 2:
Practice Address - City:BARING PLT
Practice Address - State:ME
Practice Address - Zip Code:04694-5062
Practice Address - Country:US
Practice Address - Phone:207-454-7311
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-11-01
Last Update Date:2013-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MECR897111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MEU44246Medicare UPIN
MEMM5036Medicare PIN