Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111N00000X | Chiropractor | DC22757 | CA |
N | 175F00000X | Naturopath | ND100 | CA |
NPI | 1043483985 |
---|---|
Provider Name | Dr. Luc Michael Maes |
First Address | Santa Barbara, CA 93101-2414 |
Second Address | Santa Barbara, CA 93101-2414 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 11/04/2008 |
Last Update Date | 11/04/2008 |