Provider Demographics
NPI:1063533453
Name:GARBER, ELIZABETH W (M AC, LIC AC)
Entity type:Individual
Prefix:MS
First Name:ELIZABETH
Middle Name:W
Last Name:GARBER
Suffix:
Gender:F
Credentials:M AC, LIC AC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:79A MAIN ST
Mailing Address - Street 2:
Mailing Address - City:BELFAST
Mailing Address - State:ME
Mailing Address - Zip Code:04915-6822
Mailing Address - Country:US
Mailing Address - Phone:207-338-5251
Mailing Address - Fax:207-338-1796
Practice Address - Street 1:79A MAIN ST
Practice Address - Street 2:
Practice Address - City:BELFAST
Practice Address - State:ME
Practice Address - Zip Code:04915-6822
Practice Address - Country:US
Practice Address - Phone:207-338-5251
Practice Address - Fax:207-338-1796
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MEAC10171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist