# DR. MARIE T EAGAN

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1225107626
- **Gender:** F
- **Credential:** D.C.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | X003730-1 | NY | Yes |

## Other

- **Enumeration date:** 11/07/2006
- **Last updated:** 06/04/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | CO3730-1B | WORKERS COMP. AUTHORIZATI | NY |
