Moshe Myerowitz DC PA

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CR400 Issued in ME

Legal business name

MOSHE MYEROWITZ DC PA

Doing business as

Myerowitz Chiropractic Center

Practice address

1570 Broadway
Bangor, ME 04401-2405

Phone

(207) 947-3333

Fax

(207) 947-1008

NPI assigned

Jan 5, 2007

Reactivated

Jan 16, 2008

Last updated

May 23, 2008By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Moshe Myerowitz, DC

Title

Owner

Phone

(207) 947-3333

Specialties & licenses 1

Addresses

Other identifiers 4

Other names 1

• Myerowitz Chiropractic Center Doing business as

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1167955200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211500800000",
    "number": "1083761415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1570 BROADWAY",
            "city": "BANGOR",
            "state": "ME",
            "postal_code": "044012405",
            "telephone_number": "207-947-3333",
            "fax_number": "207-947-1008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1570 BROADWAY",
            "city": "BANGOR",
            "state": "ME",
            "postal_code": "044012405",
            "telephone_number": "207-947-3333",
            "fax_number": "207-947-1008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOSHE MYEROWITZ DC PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-05",
        "last_updated": "2008-05-23",
        "deactivation_date": "2007-05-08",
        "reactivation_date": "2008-01-16",
        "status": "A",
        "authorized_official_last_name": "MYEROWITZ",
        "authorized_official_first_name": "MOSHE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "207-947-3333",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "ME",
            "license": "CR400",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "0004846",
            "state": "ME"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "060100",
            "state": "ME"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "M20329",
            "state": "ME"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "350019565",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Myerowitz Chiropractic Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Heather Morrison, CRNA
• Caitlin G Morrow
• Paul James Morrow Jr., PHARMD
• Kenneth Russell Morse, MD
• Raymond Mortellitti, LCSW
• Terry Mosher, FNP
• Alfreda Mouland, FNP
• Paul Rush Moulton, M.D.
• Laurie Ellen Mouradian
• Polly Moutevelis-Burgess, LCPC, LMFT

• Chiropractor in Bangor, ME
• Providers in Bangor, ME by specialty
• Chiropractor in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.