MEDICARE: NIA MEGQUIER DC FIAMA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor	CR2190	ME

General Provider Information

NPI Number	:	1598180424
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NIA MEGQUIER DC FIAMA

Provider Business Mailing Address
First Line	:	PO BOX 356
Second Line	:
City	:	MOUNT DESERT
State	:	ME
Zip	:	04660-0356
Country	:	US
Telephone Number	:	207-460-9610
Fax Number	:

Provider Business Practice Location Address
First Line	:	416 SABATTUS ST
Second Line	:
City	:	LEWISTON
State	:	ME
Zip	:	04240-5430
Country	:	US
Telephone Number	:	207-460-9610
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/01/2014
Last Update Date	:	01/23/2024

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