Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111N00000X | Chiropractor | CR2068 | ME |
N | 111NS0005X | Chiropractic Sports Physician | CR2068 | ME |
NPI | 1336445618 |
---|---|
Provider Name | Dr. Zev Myerowitz JR. |
First Address | Cape Elizabeth, ME 04107-2628 |
Second Address | Cape Elizabeth, ME 04107-2628 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/02/2011 |
Last Update Date | 10/05/2012 |