Provider Demographics
NPI:1336354661
Name:AUBURN CHIROPRACTIC, P.A.
Entity Type:Organization
Organization Name:AUBURN CHIROPRACTIC, P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:RYAN
Authorized Official - Middle Name:
Authorized Official - Last Name:METIVIER
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:207-782-2600
Mailing Address - Street 1:1300 MINOT AVE
Mailing Address - Street 2:
Mailing Address - City:AUBURN
Mailing Address - State:ME
Mailing Address - Zip Code:04210-3724
Mailing Address - Country:US
Mailing Address - Phone:207-782-2600
Mailing Address - Fax:207-782-1331
Practice Address - Street 1:1300 MINOT AVE
Practice Address - Street 2:
Practice Address - City:AUBURN
Practice Address - State:ME
Practice Address - Zip Code:04210-3724
Practice Address - Country:US
Practice Address - Phone:207-782-2600
Practice Address - Fax:207-782-1331
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-11
Last Update Date:2021-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MECR1219111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty