Provider Demographics
NPI:1528464096
Name:MAROON CHIROPRACTIC LLC
Entity type:Organization
Organization Name:MAROON CHIROPRACTIC LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIROPRACTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:STEPHEN
Authorized Official - Middle Name:T
Authorized Official - Last Name:MAROON
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:978-869-6061
Mailing Address - Street 1:2 DALE CIR
Mailing Address - Street 2:
Mailing Address - City:METHUEN
Mailing Address - State:MA
Mailing Address - Zip Code:01844-7315
Mailing Address - Country:US
Mailing Address - Phone:978-869-6061
Mailing Address - Fax:
Practice Address - Street 1:2 MANOR PKWY
Practice Address - Street 2:SUITE A
Practice Address - City:SALEM
Practice Address - State:NH
Practice Address - Zip Code:03079-4871
Practice Address - Country:US
Practice Address - Phone:978-869-6061
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-11-11
Last Update Date:2014-11-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH938111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty