Individual
DR. ANDREW CONAN MINER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
9 PLEASANT ST, BRUNSWICK, ME 04011-2247
(207) 725-7177
(207) 725-5600
Mailing address
9 PLEASANT ST, BRUNSWICK, ME 04011-2247
(207) 725-7177
(207) 725-5600
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
70011814
NY
111N00000X
Chiropractor
Primary
CR1990
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12060034
CAQH NUMBER
—
05
—
1780915405
—
ME
01
—
70011814
NY STATE LICENSE NUMBER
NY
01
—
CR1990
MAINE LICENSE
ME
Enumeration date
01/20/2010
Last updated
06/17/2014
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