Healthcare Provider Details

I. General information

NPI: 1831376003
Provider Name (Legal Business Name): THOMAS J. AUGAT, D.C., P.A.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/29/2008
Last Update Date: 01/29/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9 PLEASANT ST
BRUNSWICK ME
04011-2247
US

IV. Provider business mailing address

9 PLEASANT ST
BRUNSWICK ME
04011-2247
US

V. Phone/Fax

Practice location:
  • Phone: 207-725-7177
  • Fax: 207-725-5600
Mailing address:
  • Phone: 207-725-7177
  • Fax: 207-725-5600

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberCR737
License Number StateME

VIII. Authorized Official

Name: DR. THOMAS J. AUGAT
Title or Position: PRESIDENT
Credential: D.C.
Phone: 207-725-7177