Provider Demographics
NPI:1780894469
Name:MAKARIS, ARTHUR (LAC)
Entity type:Individual
Prefix:
First Name:ARTHUR
Middle Name:
Last Name:MAKARIS
Suffix:
Gender:M
Credentials:LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:986 ECONOMOU RD
Mailing Address - Street 2:
Mailing Address - City:HUNTINGTON
Mailing Address - State:VT
Mailing Address - Zip Code:05462-9635
Mailing Address - Country:US
Mailing Address - Phone:802-879-7999
Mailing Address - Fax:
Practice Address - Street 1:167 PEARL ST
Practice Address - Street 2:
Practice Address - City:ESSEX JUNCTION
Practice Address - State:VT
Practice Address - Zip Code:05452-3022
Practice Address - Country:US
Practice Address - Phone:802-879-7999
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VT0910000037171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist