Healthcare Provider Details

I. General information

NPI: 1396934394
Provider Name (Legal Business Name): AARON BOYD MACARTHUR D.C. DACNB
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/16/2007
Last Update Date: 10/07/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

19 COMMERCIAL ST # 2A
PORTLAND ME
04101-4701
US

IV. Provider business mailing address

19 COMMERCIAL ST # 2A
PORTLAND ME
04101-4701
US

V. Phone/Fax

Practice location:
  • Phone: 207-699-5600
  • Fax: 207-699-5588
Mailing address:
  • Phone: 207-699-5600
  • Fax: 207-699-5588

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberCR1777
License Number StateME

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: