Healthcare Provider Details

I. General information

NPI: 1043375678
Provider Name (Legal Business Name): MICHAEL S MAIER DC
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/26/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

43123 HWY 299 E
FALL RIVER MILLS CA
96028-1109
US

IV. Provider business mailing address

PO BOX 1109
FALL RIVER MILLS CA
96028-1109
US

V. Phone/Fax

Practice location:
  • Phone: 530-336-6547
  • Fax: 530-336-6547
Mailing address:
  • Phone: 530-336-6547
  • Fax: 530-336-6547

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberDC24492
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: