Provider Demographics
NPI:1669561544
Name:DUPUIS, MARC (DC)
Entity type:Individual
Prefix:DR
First Name:MARC
Middle Name:
Last Name:DUPUIS
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15 DAIGLE LN
Mailing Address - Street 2:SUITE 101
Mailing Address - City:SANFORD
Mailing Address - State:ME
Mailing Address - Zip Code:04073-4173
Mailing Address - Country:US
Mailing Address - Phone:207-324-7098
Mailing Address - Fax:207-324-7098
Practice Address - Street 1:15 DAIGLE LN
Practice Address - Street 2:SUITE 101
Practice Address - City:SANFORD
Practice Address - State:ME
Practice Address - Zip Code:04073-4173
Practice Address - Country:US
Practice Address - Phone:207-324-7098
Practice Address - Fax:207-324-7098
Is Sole Proprietor?:No
Enumeration Date:2006-10-11
Last Update Date:2013-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MECR1383111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor