Provider Demographics
NPI:1215972468
Name:MAGUIRE, CHRISTINE ELIZABETH (DC)
Entity type:Individual
Prefix:DR
First Name:CHRISTINE
Middle Name:ELIZABETH
Last Name:MAGUIRE
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20 BLACK POINT RD
Mailing Address - Street 2:
Mailing Address - City:SCARBOROUGH
Mailing Address - State:ME
Mailing Address - Zip Code:04074-9378
Mailing Address - Country:US
Mailing Address - Phone:207-885-9415
Mailing Address - Fax:207-885-9419
Practice Address - Street 1:20 BLACK POINT RD
Practice Address - Street 2:
Practice Address - City:SCARBOROUGH
Practice Address - State:ME
Practice Address - Zip Code:04074-9378
Practice Address - Country:US
Practice Address - Phone:207-885-9415
Practice Address - Fax:207-885-9419
Is Sole Proprietor?:No
Enumeration Date:2006-06-19
Last Update Date:2019-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MECR1245111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
MEU56600Medicare UPIN
MEMM9859Medicare ID - Type Unspecified