Provider Demographics
NPI:1215166483
Name:MYEROWITZ, DANIEL JACOB (DC)
Entity type:Individual
Prefix:DR
First Name:DANIEL
Middle Name:JACOB
Last Name:MYEROWITZ
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:291 MAIN RD
Mailing Address - Street 2:
Mailing Address - City:HOLDEN
Mailing Address - State:ME
Mailing Address - Zip Code:04429-7132
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:
Practice Address - City:HOLDEN
Practice Address - State:ME
Practice Address - Zip Code:04429-7132
Practice Address - Country:US
Practice Address - Phone:207-989-0000
Practice Address - Fax:207-989-7459
Is Sole Proprietor?:Yes
Enumeration Date:2009-07-09
Last Update Date:2009-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MECR1901111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor