Provider Demographics
NPI:1992967418
Name:MAYER, CHRISTOPHER ERIC (MS, LAC)
Entity type:Individual
Prefix:MR
First Name:CHRISTOPHER
Middle Name:ERIC
Last Name:MAYER
Suffix:
Gender:M
Credentials:MS, LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:174 BANGOR RD
Mailing Address - Street 2:
Mailing Address - City:EASTON
Mailing Address - State:ME
Mailing Address - Zip Code:04740-4206
Mailing Address - Country:US
Mailing Address - Phone:207-551-6301
Mailing Address - Fax:207-764-0427
Practice Address - Street 1:174 BANGOR RD
Practice Address - Street 2:
Practice Address - City:EASTON
Practice Address - State:ME
Practice Address - Zip Code:04740-4206
Practice Address - Country:US
Practice Address - Phone:207-551-6301
Practice Address - Fax:207-764-0427
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-26
Last Update Date:2008-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MEAC317171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist