Provider Demographics
NPI:1043483985
Name:MAES, LUC MICHAEL (DC,ND)
Entity type:Individual
Prefix:DR
First Name:LUC
Middle Name:MICHAEL
Last Name:MAES
Suffix:
Gender:M
Credentials:DC,ND
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9 E MISSION ST
Mailing Address - Street 2:
Mailing Address - City:SANTA BARBARA
Mailing Address - State:CA
Mailing Address - Zip Code:93101-2414
Mailing Address - Country:US
Mailing Address - Phone:805-563-8660
Mailing Address - Fax:
Practice Address - Street 1:9 E MISSION ST
Practice Address - Street 2:
Practice Address - City:SANTA BARBARA
Practice Address - State:CA
Practice Address - Zip Code:93101-2414
Practice Address - Country:US
Practice Address - Phone:805-563-8660
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-04-11
Last Update Date:2008-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC22757111N00000X
CAND100175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
No175F00000XOther Service ProvidersNaturopath