Provider Demographics
NPI:1285615732
Name:MAIER, ROBERT (DC)
Entity type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:
Last Name:MAIER
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 1:400 BOSTON POST RD
Mailing Address - Street 2:STE 2D
Mailing Address - City:SUDBURY
Mailing Address - State:MA
Mailing Address - Zip Code:01776-3009
Mailing Address - Country:US
Mailing Address - Phone:978-443-3700
Mailing Address - Fax:978-443-6611
Practice Address - Street 1:400 BOSTON POST RD
Practice Address - Street 2:STE 2D
Practice Address - City:SUDBURY
Practice Address - State:MA
Practice Address - Zip Code:01776-3009
Practice Address - Country:US
Practice Address - Phone:978-443-3700
Practice Address - Fax:978-443-6611
Is Sole Proprietor?:Yes
Enumeration Date:2005-11-10
Last Update Date:2014-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA882111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA737403OtherTUFTS
MA110029932AMedicaid
MAY35599OtherBCBS OF MA
MA35914OtherHPHC
MAU62494Medicare UPIN
MAY35599OtherBCBS OF MA