1891764734 NPI number — DR ZEV J MYEROWITZ DC PA

Table of content: (NPI 1891764734)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1891764734 NPI number — DR ZEV J MYEROWITZ DC PA

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
DR ZEV J MYEROWITZ DC PA
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
6
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1891764734
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
08/22/2020
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
291 MAIN RD
Provider Second Line Business Mailing Address:
STE A
Provider Business Mailing Address City Name:
HOLDEN
Provider Business Mailing Address State Name:
ME
Provider Business Mailing Address Postal Code:
04429
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
207-989-0000
Provider Business Mailing Address Fax Number:
207-989-7459

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
291 MAIN RD
Provider Second Line Business Practice Location Address:
STE A
Provider Business Practice Location Address City Name:
HOLDEN
Provider Business Practice Location Address State Name:
ME
Provider Business Practice Location Address Postal Code:
04429
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
207-989-0000
Provider Business Practice Location Address Fax Number:
207-989-7459
Provider Enumeration Date:
03/14/2006

Additional Information

Authorized Official

Authorized Official Last Name:
MYEROWITZ
Authorized Official First Name:
ZEV
Authorized Official Middle Name:
J
Authorized Official Title or Position:
PRESIDENT
Authorized Official Telephone Number:
207-989-0000

Provider Taxonomy Codes

  • Taxonomy code: 111N00000X , with the licence number:  CR533 , registered in the state of ME ; information, associated with the NPI states the following Primary Taxonomy Switch: "X" .
  • Taxonomy code: 171100000X , with the licence number: AC217 , registered in the state of ME ; information, associated with the NPI states the following Primary Taxonomy Switch: "X" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 043487 . This is a "ANTHEM" identifier . This identifiers is of the category "OTHER".




Copyright © 2007-2025 www.npivalidator.com