Provider Demographics
NPI:1225112972
Name:MYEROWITZ, ZEV J (DC LAC)
Entity type:Individual
Prefix:DR
First Name:ZEV
Middle Name:J
Last Name:MYEROWITZ
Suffix:
Gender:M
Credentials:DC LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:291 MAIN RD.
Mailing Address - Street 2:SUITE A
Mailing Address - City:HOLDEN
Mailing Address - State:ME
Mailing Address - Zip Code:04429
Mailing Address - Country:US
Mailing Address - Phone:207-989-0000
Mailing Address - Fax:207-989-7459
Practice Address - Street 1:291 MAIN RD.
Practice Address - Street 2:SUITE A
Practice Address - City:HOLDEN
Practice Address - State:ME
Practice Address - Zip Code:04429
Practice Address - Country:US
Practice Address - Phone:207-989-0000
Practice Address - Fax:207-989-7459
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-25
Last Update Date:2025-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MECR533111N00000X
MEAC217171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist
No111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
ME043487OtherANTHEM BLUE CROSS BLUE SH
ME043487OtherANTHEM BLUE CROSS BLUE SH